inforMED
MalfunctionGJE

ANG WNG 23G BCS W/LUER ATR X50

Received Jul 18, 2014

Report 1282497-2014-00043 · MDR key 4010054

Device

Generic name

Blood Collection Set

Manufacturer

Covidien

Model number

8881225307

Catalog number

8881225307

Lot number

132490198X

Product problems

  • Detachment Of Device Component
  • Fluid/Blood Leak
  • Connection Problem
  • Fail-Safe Problem

Patient

UNK

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY, UPON COMPLETION THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

IT WAS REPORTED TO COVIDIEN ON (B)(6) 2014 THAT A CUSTOMER HAD AN ISSUE WITH A BLOOD COLLECTION SET. THE CUSTOMER STATES THAT DURING A BLOOD DRAW, BLOOD STARTED TO LEAK FROM THE NEEDLE AND TUBING CONNECTION WHERE THE BUTTERFLY SAFETY SHIELD IS LOCATED. AT THE END OF THE BLOOD DRAW, THE NEEDLE DISCONNECTED FROM TUBING. THE NEEDLE, WHERE THE LEAK OCCURRED, DETACHED FROM THE TUBING AS THE CLINICIAN WAS PULLING IT OUT OF THE PT'S ARM. THE NEEDLE WAS STICKING HALF WAY INTO THE PT'S ARM AND HALF OUT. IT WAS STICKING OUT ENOUGH THAT THE CLINICIAN COULD PULL IT OUT OF THE PT'S ARM WITHOUT INCIDENT.