inforMED
MalfunctionORD

DRAGONFLY¿ OPTIS¿ CATHETER

Received Jun 6, 2019 · Event occurred May 14, 2019

Report 3009600098-2019-00012 · MDR key 8675172

Device

Generic name

Dfii Kitbox Ous (no Syringe)

Model number

C408641

Lot number

6906071

Product problems

  • Flaked
  • Flaked

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE RESULTS/METHOD AND CONCLUSION CODES ALONG WITH INVESTIGATION RESULTS WILL BE PROVIDED IN THE FINAL REPORT.

Description of Event or Problem

FOLLOWING A SUCCESSFUL PROCEDURE WHEN THE DRAGONFLY OPTIS CATHETER WAS WITHDRAWN, BLACK-COLORED, FIBER-LIKE OBJECTS WERE NOTED IN THE Y-CONNECTOR. THE PROCEDURE WAS COMPLETED WITHOUT FURTHER USE OF THE CATHETER WITH NO ADVERSE PATIENT CONSEQUENCES. THERE WAS NO DIFFICULTY INSERTING OR WITHDRAWING THE CATHETER, AND THE DEVICE DID NOT APPEAR DAMAGED. A NON-ABBOTT GUIDING CATHETER, SYRINGE, AND GUIDEWIRE WERE USED WITH THE CATHETER.

Additional Manufacturer Narrative

SEVERAL SMALL BLACK PIECES OF SUSPECTED MATERIAL WERE RETURNED, AND FTIR-ATR DETERMINED THAT THE RETURNED MATERIAL WAS NOT FROM A DRAGONFLY OPTIS DEVICE. THE DRAGONFLY OPTIS CATHETER WAS NOT RETURNED. THE DEVICE HISTORY RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED. THE CAUSE OF THE REPORTED EVENT REMAINS UNKNOWN.