inforMED
MalfunctionMPB

CATHETERS SHORT TERM

Received Aug 4, 2025 · Event occurred Jul 8, 2025

Report 3004367028-2025-00004 · MDR key 22705931

Device

Generic name

Catheter, Hemodialysis, Non-implanted

Model number

NA

Catalog number

ASKU

Lot number

ASKU

Product problems

  • Air/Gas in Device
  • Air/Gas in Device

Patient

47 YR · Unknown

  • Air Embolism
  • Dyspnea
  • High Blood Pressure/ Hypertension
  • Low Oxygen Saturation
  • Air Embolism
  • Dyspnea
  • High Blood Pressure/ Hypertension
  • Low Oxygen Saturation

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING CONTINUOUS RENAL REPLACEMENT THERAPY USING A GAMCATH CATHETER AND A PRISMAFLEX SET, THE PATIENT EXPERIENCED AN AIR EMBOLISM, HYPERTENSION, DESATURATION RATE OF 80%, DYSPNEA, AND A GLASGOW COMA SCALE OF 5. IT WAS REPORTED THAT AIR WAS VISIBLE FROM THE GAMCATH CATHETER TO THE PRISMAFLEX SET. TREATMENT WAS TERMINATED WITHOUT THE EXTRACORPOREAL BLOOD BEING RETURNED TO THE PATIENT. IT WAS REPORTED THE PATIENT RECEIVED "HYPERBARIC CHAMBER FOR GAS EMBOLISM". AT THE TIME OF THIS REPORT, THE PATIENT OUTCOME WAS NOT REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

H11: THE ACTUAL DEVICE WAS RECEIVED FOR EVALUATION. VISUAL INSPECTION OF THE SAMPLE DETERMINED THAT IT WAS A NON-VANTIVE CATHETER. BASED ON ADDITIONAL INFORMATION RECEIVED, THE GAMCATH CATHETER WAS DETERMINED NOT TO BE A FACTOR IN THE REPORTED ADVERSE EVENT. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.