inforMED
MalfunctionOGE

PERIFIX®

Received Mar 12, 2025 · Event occurred Feb 19, 2025

Report 2523676-2025-00217 · MDR key 21586187

Device

Generic name

Epidural Anesthesia Kit

Catalog number

332079

Lot number

0061969212

Product problems

  • Break
  • Break

Patient

NA · Unknown

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). EIGHT UNOPENED KITS WERE PROVIDED FOR EVALUATION. UPON EVALUATION OF THE SAMPLES, THE CATHETERS WERE VISUALLY INSPECTED WITH NO DAMAGE OR DEFECTS OBSERVED. THE CATHETERS WERE ATTACHED TO A CONNECTOR AND PULL TESTED WITH PASSING RESULTS. THE REPORTED CONCERN WAS UNABLE TO BE CONFIRMED. ALL INFORMATION CONCERNING THIS REPORTED INCIDENT HAS BEEN INCLUDED IN OUR TREND AN ANALYSIS OF THE PRODUCT LINE. A REVIEW OF THE DISCREPANCY MANAGEMENT SYSTEM (DSMS) DATABASE WAS PERFORMED FOR THE REPORTED LOT NUMBER AND NO ABNORMALITIES OR NON-CONFORMANCES WERE NOTED DURING THE IN PROCESS OR FINAL PRODUCT INSPECTION. PER THE MANUFACTURERS INVESTIGATION THIS DEFECT IS NOT LIKELY TO HAVE HAPPENED DURING THE MANUFACTURING PROCESS. IT IS BELIEVED TO HAPPEN DURING APPLICATION. WE WILL MAINTAIN THIS REPORT FOR FURTHER REFERENCES AND CONTINUE TO MONITOR OTHER REPORTS FOR SIMILAR OCCURRENCES. IF ANY ADDITIONAL PERTINENT INFORMATION BECOMES AVAILABLE, A FOLLOW UP WILL BE SUBMITTED.

Additional Manufacturer Narrative

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL INTERNAL REPORT NUMBER (B)(4). THE INVESTIGATION IS ONGOING AT THIS TIME. A FOLLOW UP WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS BECOME AVAILABLE.

Description of Event or Problem

AS REPORTED BY THE USER FACILITY: DETAILED INQUIRY DESCRIPTION: EPIDURAL CATHETER BROKE OFF INTO PATIENT, NEEDED TO PERFORM A SPINAL PROCEDURE TO REMOVE THE BROKEN OFF CATHETER PIECE.