inforMED
MalfunctionFKA

HEMOSPLIT CATHETER

Received Jan 19, 2012

Report 3006260740-2012-00021 · MDR key 2439949

Device

Generic name

Blood Access Device

Catalog number

UNKNOWN

Lot number

UNK

Product problems

  • Break
  • Detachment Of Device Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE HEMOSPLIT CATHETER RIPPED AT THE LEVEL OF THE ROBUST EXTENSION LEGS.

Additional Manufacturer Narrative

THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER AT THIS TIME FOR EVALUATION. A LOT HISTORY REVIEW (LHR) REVIEW IS NOT POSSIBLE, AS NO MANUFACTURING LOT NUMBER HAS BEEN PROVIDED BY THE COMPLAINANT.