inforMED
MalfunctionOGJ

ARROW CONTINUOUS NERVE BLOCK KIT

Received Mar 12, 2014 · Event occurred Feb 1, 2014

Report 1036844-2014-00078 · MDR key 3938099

Device

Generic name

Anesthesia Conduction Kit

Manufacturer

Arrow Intl., Inc.

Catalog number

AB-19608-KS

Lot number

23F13J104

Product problems

  • Material Separation
  • Unraveled Material

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE DEVICE SAMPLE WAS RECEIVED BY THE MANUFACTURER, BUT THE INVESTIGATION IS INCOMPLETE AT THE TIME OF THIS REPORT.

Description of Event or Problem

THE EVENT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE CATHETER STARTED TO UNRAVEL AND SHEAR AS IT BEGAN TO BE USED. THE CUSTOMER WAS DISCONTINUED AND A NEW CATHETER WAS USED SUCCESSFULLY. NO REPORT OF A PATIENT INJURY OR HARM.