inforMED
InjuryFOS

UNKNOWN NEONATAL

Received Jan 27, 2017

Report 3009211636-2017-00060 · MDR key 6283135

Device

Generic name

Uvc

Manufacturer

Covidien

Model number

UNKNOWN NE

Catalog number

UNKNOWN NE

Lot number

UNKNOWN

Product problems

  • Material Fragmentation
  • Occlusion Within Device

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

SUBMIT DATE: 1/27/2017. AN INVESTIGATION IS CURRENTLY UNDER WAY. UPON COMPLETION THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

IT WAS REPORTED TO COVIDIEN ON (B)(6) 2017 THAT A CUSTOMER HAD AN ISSUE WITH AN ENTERAL FEEDING PUMP. THE CUSTOMER REPORTS THAT THE DRESSING WAS BEING REMOVED TO PREPARE FOR NEW UVC PLACEMENT DUE TO THE OLD LINE BEING OCCLUDED AND NOT DRAWING BACK DESPITE CORRECT LOCATION PER X-RAY. THE NURSE NOTICED TWO SEPARATE CATHETERS, THE 5F CATHETER HAD BEEN BROKEN AND SEPARATED INTO TWO PIECES WITH ONE PART REMAINING IN PATIENT. THE LINE WAS CLAMPED AND REMOVED WITH THE CATHETER STILL INTACT.