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MalfunctionFOS

UMBILICAL CATHETER DUAL LUMEN 5FR

Received Jul 24, 2024 · Event occurred Jul 16, 2024

Report 1423537-2024-00086 · MDR key 19821948

Device

Generic name

Catheter, Umbilical Artery

Manufacturer

Cardinal Health

Model number

8888160556

Catalog number

8888160556

Product problems

  • Connection Problem
  • Connection Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED SINCE NO LOT NUMBER WAS PROVIDED. THE DEVICE WAS RECEIVED FOR EVALUATION AND THE REPORTED CONDITION WAS OBSERVED. A CORRECTIVE AND PREVENTIVE ACTION HAS BEEN INITIATED TO FURTHER INVESTIGATE THIS ISSUE.

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

THE CUSTOMER REPORTED THAT WHAT USED TO BE ROUNDED EDGES AT THE END OF THE PORTS NOW HAVE (WHAT THEY WILL CALL) AS TABS ON THE RIGHT AND LEFT SIDES. IF ONE OR BOTH OF THESE TABS GETS WORN DOWN, THE STOPCOCK THAT THEY ROUTINELY CHANGE DOES NOT SCREW ON SECURELY ANYMORE, RESULTING IN PATIENT SAFETY RISK AND THE UMBILICAL LINE HAD TO BE REMOVED AND A NEW TYPE OF INTRAVENOUS ACCESS OBTAINED. THIS UMBILICAL LINE WAS ONLY IN USE FOR 5 DAYS (SHOULD LAST UP TO 14 DAYS OR LONGER) BEFORE THIS ISSUE AROSE. THERE WAS NO PATIENT HARM REPORTED.