FDA Adverse Event Malfunction Summary report: N

2-GANG 4-WAY STOPCOCK W/ SWIVEL MALE LUER LOC

MDR report key: 1021520 · Received March 26, 2008

Report

Report Number
9616567-2008-00019
Event Type
Malfunction
Date Received
March 26, 2008
Report Date
February 25, 2008
Manufacturer
SMITHS MEDICAL, ASD
Product Code
FMG
PMA / PMN Number
PREAMEND
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

SAMPLES HAVE BEEN RECEIVED FROM THE CUSTOMER; HOWEVER, SMITHS HAS NOT YET COMPLETED THE INVESTIGATION INTO THIS ISSUE. A FOLLOW UP REPORT WILL BE SUBMITTED AS SOON AS THE INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE "IV TUBING 3-WAY CONNECTORS AND THE IV TUBING WERE NOTED TO HAVE BLOOD BACKED UP FROM THE CENTRAL ACCESS INTO THE CONNECTORS AND IV TUBING. HEPARIN, FENTANYL, AND INSULIN GTTS WAS INFUSING THROUGH THE LINE. THE PRODUCT SNAPPED AT THE CONNECTION...PRODUCT BROKE IN THE MIDDLE. VASOPRESSORS WERE RUNNING INTO THE BED. THE PATIENT EXPERIENCED A HYPOTENSIVE EPISODE."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 2-GANG 4-WAY STOPCOCK W/ SWIVEL MALE LUER LOC STOPCOCKS FMG SMITHS MEDICAL, ASD NA 1204123

Patients

Seq Age Sex Outcome Treatment
1 UNK