inforMED
MalfunctionEXR

UNOMETER SAFETI 150CM 2L (1/14)

Received Dec 19, 2013 · Event occurred Nov 21, 2013

Report 3007966929-2013-00023 · MDR key 3669806

Device

Generic name

Device, Urine Flow Rate Measuring

Manufacturer

Unomedical Ltd.

Model number

158101210190

Catalog number

158101210190

Lot number

655101

Product problems

  • Detachment Of Device Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED A REPORTABLE MALFUNCTION. THERE WERE NO REPORTS OF A PT BEING HARMED AS A RESULT OF THIS MALFUNCTION. IT IS REPORTED THAT THIS ISSUE OCCURRED TO THE PRODUCT EVALUATION SAMPLE. NO ADDITIONAL PT/EVENT DETAILS HAVE BEEN PROVIDED TO DATE. A RETURN SAMPLE FOR EVALUATION IS NOT EXPECTED. SHOULD ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

INFORMATION RECEIVED VIA COMPLAINT FORM IS INDICATED AS FOLLOWS: SALES REPRESENTATIVE STATED THAT THE PORT (KOMBIKOM) THAT CONNECTS TO THE BLADDER CATHETER WAS DETACHED.