inforMED
MalfunctionNWO

DOVER

Received Mar 7, 2017 · Event occurred Feb 1, 2017

Report 9611712-2017-05001 · MDR key 6383441

Device

Generic name

Kit, Catheter, Urinary (exludes Hiv Testing)

Manufacturer

Mediquip

Model number

1213-02

Catalog number

1213-02

Lot number

3179074QX

Product problems

  • Device Operates Differently Than Expected
  • Device Operates Differently Than Expected

Patient

Not reported

  • No Patient Involvement
  • No Information
  • No Patient Involvement
  • No Information

Narrative

Additional Manufacturer Narrative

SUBMIT DATE: 03/07/2017. AN INVESTIGATION IS CURRENTLY UNDERWAY; 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 A URINARY CATHETER. THE CUSTOMER STATES THE BALLOON WOULD NOT DEFLATE.

Additional Manufacturer Narrative

NO SAMPLE WAS RECEIVED FOR THE EVALUATION. THE INVESTIGATION WAS BASED ON THE TREND ANALYSIS AND BATCH HISTORY REVIEW ONLY. FURTHER INVESTIGATION ON THE SAMPLE COULD NOT BE CONDUCTED. THE REPORTED CONDITION COULD NOT BE CONFIRMED. SINCE NO TREND EXISTS, AN ACTUAL ROOT CAUSE FOR THE REPORTED CONDITION CANNOT BE SPECIFICALLY IDENTIFIED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) WAS DONE. THE LOT WAS MANUFACTURED AS PER THE DEFINED DEVICE MASTER RECORD. ALL ACCEPTANCE CRITERIA WERE MET AND THIS BATCH WAS RELEASED MEETING ALL THE ACCEPTANCE CRITERIA. THE PROBABLE ROOT CAUSE FOR NON-DEFLATION USUALLY IS ASSOCIATED WITH UNEVEN RIB BALLOON THICKNESS DUE TO THE RIBBED OF THE FORMER BALLOON HAS WORN OUT. THE PRESSURE FROM THE WATER PRESSING ON THE LUMEN OF THE CATHETER COULD HAVE LED TO EXCESS WATER INSIDE THE BALLOON WHICH COULD NOT FLOW OUT THROUGH THE EYE. SINCE NO TREND EXISTS, AN ACTUAL ROOT CAUSE FOR THE REPORTED CONDITION CANNOT BE SPECIFICALLY IDENTIFIED; THEREFORE, CORRECTIVE ACTION WILL BE LIMITED TO THE MANUFACTURING AWARENESS. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

THE CUSTOMER STATES THE BALLOON WOULD NOT DEFLATE.