inforMED
InjuryOGJ

ARROW EPIDURAL CATHERIZATION KIT

Received Nov 5, 2014 · Event occurred Oct 25, 2014

Report 1036844-2014-00445 · MDR key 4254142

Device

Generic name

Anesthesia Conduction Kit

Manufacturer

Arrow Intl., Inc.

Catalog number

AK-05502

Product problems

  • Material Fragmentation
  • Material Separation

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Information
  • No Code Available

Narrative

Additional Manufacturer Narrative

(B)(4). THE DEVICE SAMPLE WAS NOT RETURNED FOR EVALUATION AT THE TIME OF THIS REPORT. ATTEMPT MADE TO OBTAIN ADDITIONAL INFORMATION FROM THE USER FACILITY (THAD DUFRENNE - DIRECTOR OF RISK MANAGEMENT; HOWEVER, NO RESPONSE RECEIVED FROM USER FACILITY AT THE TIME OF THIS REPORT.

Description of Event or Problem

THE CUSTOMER ALLEGES THAT DURING THE REMOVAL PROCESS; THE CATHETER BROKE OFF INTO THE PATIENT. THE CUSTOMER, ALSO, ALLEGES THAT THERE WERE FIVE (5) PIECES OF THE CATHETER STUCK IN THE PATIENT. INTERVENTION: THE CATHETER HAD TO BE SURGICALLY REMOVED FROM THE PATIENT.