inforMED
MalfunctionGBW

TENCKHOFF ACUTE PERITONEAL DIALYSIS CATHETER SET

Received Dec 16, 2018

Report 1820334-2018-03821 · MDR key 8167876

Device

Manufacturer

Cook Inc

Model number

NA

Catalog number

C-TAPS-9.5-31-12-0-10.5

Lot number

5112104

Product problems

  • Fluid/Blood Leak
  • Fitting Problem

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE FIELD FOR SECTIONS WAS NOT POPULATED DUE TO A TECHNICAL LIMITATION: COMMON NAME: CATHETER, PERITONEAL; PRODUCT CODE: GBW.THIS MDR IS BEING FILED AFTER THE ASSOCIATED COMPLAINT WAS REVIEWED UNDER REMEDIATION PROTOCOL (B)(4), COMPLAINT/MDR RETROSPECTIVE REVIEW AND REMEDIATION AND REASSESSED AS REPORTABLE. ADDITIONAL COMPLAINT INVESTIGATION AND RECORD REMEDIATION WAS NOT PERFORMED.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE PERITONEAL DIALYSIS, A LUER LOCK CONNECTION ON TENCKHOFF ACUTE PERITONEAL DIALYSIS CATHETER WAS LEAKING WHEN CONNECTED O ANOTHER MANUFACTURER'S DIALYSIS BAG. THE LUER LOCK WAS NOT A "SNUG FIT" WITH THE OTHER MANUFACTURER'S KIT. THERE WERE NO ADVERSE EFFECTS REPORTED DUE TO THE EVENT AND NO REPORT OF AN ADDITIONAL PROCEDURE.