inforMED
MalfunctionGCD

KATETERVEN.CV.MONT. SL.1-5-100

Received Oct 30, 2015

Report 3005778470-2015-31073 · MDR key 5190173

Device

Generic name

Connector, Catheter

Manufacturer

Unomedical S.r.o.

Model number

90 805 1S - 10

Catalog number

401985

Product problems

  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

CONVATEC IS SUBMITTING THIS REPORT AS A RESULT OF ACTIVITIES RELATED TO CONVATEC REMEDIATION PROTOCOL (B)(4). CONVATEC IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21CFR PART 803. BLANK FIELDS ON THIS FORM INDICATE THE INFORMATION IS UNKNOWN, UNAVAILABLE OR UNCHANGED. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT WILL BE FILED ON A SUPPLEMENTAL REPORT (MEDWATCH 3500A).

Description of Event or Problem

COMPLAINANT REPORTS "THE VALVE IS LEAKING WHEN IT HAS BEEN OPENED AND CLOSED A FEW TIMES (BETWEEN 5 AND 10 TIMES). THE ISSUE IS ALSO RELATED TO THE LEG BAG PRODUCT WITH THE SAME VALVE."