inforMED
MalfunctionOGJ

ARROW FLEXBLOCK KIT: ECHO CATH, 17GX8CM STM NDL

Received Sep 24, 2014 · Event occurred Sep 1, 2014

Report 1036844-2014-00383 · MDR key 4142694

Device

Generic name

Anesthesia Conduction Kit

Catalog number

FB-19608-K

Product problems

  • Break
  • Material Fragmentation

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE DEVICE SAMPLE WAS NOT RETURNED FOR EVALUATION AT THE TIME OF THIS REPORT.

Description of Event or Problem

THE EVENT IS REPORTED AS: THE CUSTOMER ALLEGES THAT THE LIDOCAINE VIAL SHATTERED UPON BREAKING AT THE SCORELINE. NO PATIENT/USER INJURY REPORTED.