inforMED
MalfunctionOGE

ARROW EPIDURAL CATHETERIZATION KIT NRFIT

Received Dec 4, 2025 · Event occurred Nov 11, 2025

Report 3006425876-2025-01131 · MDR key 23714094

Device

Generic name

Anesthesia Conduction Catheter

Catalog number

TU-05500-NRO

Lot number

UNKNOWN

Product problems

  • Fluid/Blood Leak
  • Material Twisted/Bent
  • Fluid/Blood Leak
  • Material Twisted/Bent

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

(B)(4). THE REPORTED COMPLAINT OF THE CATHETER LEAKING WAS CONFIRMED BASED ON THE EVALUATION OF THE SAMPLE RECEIVED. THE CUSTOMER RETURNED ONE SNAPLOCK ASSEMBLY NRFIT AND AN EPIDURAL CATHETER. DURING THE FUNCTIONAL INSPECTION, THE RETURNED EPIDURAL CATHETER WAS CONFIRMED TO LEAK FROM WHERE THE CATHETER WAS DAMAGED AT APPROXIMATELY 14.6CM FROM THE PROXIMAL END. ALL EPIDURAL CATHETERS ARE 100% TESTED FOR LEAKS AT THE TIME OF MANUFACTURING. A DEVICE HISTORY RECORD REVIEW WAS PERFORMED ON A POTENTIAL LOT NUMBER, AND NO FINDINGS WERE IDENTIFIED TO SUGGEST A MANUFACTURING RELATED ISSUE. THE LEAK WAS DETECTED DURING USE. THEREFORE, BASED ON THE TIME OF DISCOVERY AND THE CONDITION OF THE SAMPLE RECEIVED, UNINTENTIONAL USER ERROR CAUSED OR CONTRIBUTED TO THIS EVENT.

Description of Event or Problem

IT WAS REPORTED THAT; "WHEN THE PATIENT WAS TRANSFERRED FROM THE BED TO A WHEELCHAIR, THE CATHETER WAS FOUND KINKED AND LEAK OCCURRED FROM THAT PART. AS A RESULT, THE CATHETER WAS REMOVED. NO INJURY TO THE PATIENT OCCURRED."

Description of Event or Problem

IT WAS REPORTED THAT; "WHEN THE PATIENT WAS TRANSFERRED FROM THE BED TO A WHEELCHAIR, THE CATHETER WAS FOUND KINKED AND LEAK OCCURRED FROM THAT PART. AS A RESULT, THE CATHETER WAS REMOVED. NO INJURY TO THE PATIENT OCCURRED."

Additional Manufacturer Narrative

(B)(4).