inforMED
MalfunctionEXR

UNOMETER SAFETI PLUS WITH LUER-LOCK & LUER

Received Apr 22, 2015 · Event occurred Apr 1, 2015

Report 3007966929-2015-00038 · MDR key 4723522

Device

Manufacturer

Unomedical Ltd.

Model number

158101310190

Lot number

181888

Product problems

  • No Flow

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THE URINE DID NOT FLOW FROM THE URINARY CATHETER INTO THE URINOMETER. THE DEVICE WAS DISCONNECTED AND REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED.

Additional Manufacturer Narrative

BASED ON THE AVAILABLE INFORMATION, THIS EVENT IS DEEMED A REPORTABLE MALFUNCTION. THERE WERE NO REPORTS OF THE PATIENT BEING HARMED AS A RESULT OF THIS MALFUNCTION. ADDITIONAL PATIENT/EVENT DETAILS HAVE BEEN REQUESTED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED. THIS COMPLAINT INVOLVES FIVE DEVICES, THEREFORE A SEPARATE FDA FORM 3500A WILL BE DRAFTED FOR EACH DEVICE.