inforMED
MalfunctionOFF

PORT ACCESS INSERT OUTPNT

Received Jul 29, 2025 · Event occurred Jun 19, 2025

Report 1417592-2025-00362 · MDR key 22644478

Device

Generic name

Port Access Insert Outpnt

Catalog number

CVI5190A

Lot number

25ABG414

Product problems

  • Break
  • Break

Patient

74 YR · Female

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

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT ON (B)(6) 2025 WHEN THE PORT WAS BEING FLUSHED IT WAS IDENTIFIED THAT THE "SYRINGE WING WAS BROKEN AND RIPPED THE NURSE'S GLOVE". NO ADDITIONAL DETAILS ARE AVAILABLE RELATED TO THE CUSTOMER REPORTED ISSUE. TO DATE, NO INFORMATION HAS BEEN RECEIVED TO INDICATE THAT A USER OR A PATIENT EXPERIENCED A DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, FOLLOW-UP CARE, OR OTHER ADVERSE HEALTH IMPACT ASSOCIATED WITH THE REPORTED PROBLEM/ISSUE. IN AN ABUNDANCE OF CAUTION, AND IN RESPONSE TO AN FDA 483 ISSUED FOR CFN 1417592 ON 22-JAN-2024, THIS MEDWATCH IS BEING FILED FOR THE REPORTED PROBLEM/ISSUE. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED THAT ON (B)(6) 2025 WHEN THE PORT WAS BEING FLUSHED IT WAS IDENTIFIED THAT THE "SYRINGE WING WAS BROKEN AND RIPPED THE NURSE'S GLOVE".