inforMED
MalfunctionOGE

PERIFIX®

Received Jun 22, 2025 · Event occurred May 29, 2025

Report 2521402-2025-00132 · MDR key 22304555

Device

Generic name

Epidural Anesthesia Kit

Catalog number

332282

Lot number

0061976721

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). NO SAMPLE WAS PROVIDED FOR EVALUATION. BASED ON THE DATA FROM THE INVESTIGATION WE ARE UNABLE TO DETERMINE THE ROOT CAUSE OF THE REPORTED INCIDENT. THE REPORTED DEFECT WAS UNABLE TO BE CONFIRMED. THE ACTUAL DEFECTIVE DEVICE IS A VALUABLE TOOL IN INVESTIGATING THE CAUSE OF THIS INCIDENT. 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.

Description of Event or Problem

AS REPORTED BY THE USER FACILITY: BRIEF INQUIRY DESCRIPTION: CATHETER WAS SHEARED OFF FROM TUOHY DURING EPIDURAL CATHETER PLACEMENT. DETAILED INQUIRY DESCRIPTION: CLINICIAN WAS PULLING BACK ON BOTH CATHETER AND TUOHY WHEN CATHETER SHEERED AND REMAINS IN PATIENT.