inforMED
MalfunctionOGJ

ARROW CONTINUOUS NERVE BLOCK SET

Received Mar 3, 2015 · Event occurred Jan 15, 2015

Report 1036844-2015-00066 · MDR key 4570366

Device

Generic name

Nerve Block Set

Manufacturer

Arrow Intl., Inc.

Catalog number

AB-20608-S

Product problems

  • Difficult to Remove
  • Material Separation

Patient

75 YR

  • Discomfort

Narrative

Description of Event or Problem

THE CUSTOMER ALLEGES THAT DURING REMOVAL THE CATHETER SEPARATED AND COULD NOT BE REMOVED. INTERVENTION - THE PATIENT WAS MONITORED AND SEDATED IN AN ATTEMPT TO REMOVE THE DEVICE. REMOVAL WAS SUCCESSFUL. NO FURTHER HARM TO THE PATIENT.

Additional Manufacturer Narrative

(B)(4). THE INVESTIGATION IS INCOMPLETE AT THE TIME OF THIS REPORT.