FDA Adverse Event Malfunction Summary report: N

8FR REPLOGLE SUCT CATH

MDR report key: 14118515 · Received April 15, 2022

Report

Report Number
9612030-2022-03221
Event Type
Malfunction
Date Received
April 15, 2022
Report Date
May 6, 2022
Manufacturer
CARDINAL HEALTH
Product Code
KDH
UDI-DI
10884521000711
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY RECORD WAS REVIEWED, AND NO DISCREPANCY WAS FOUND ACCORDING TO THE REPORTED CONDITION. THERE WERE NO SAMPLES OR PHOTOGRAPHS SUBMITTED FOR REVIEW AND INVESTIGATION. BASED ON THE LIMITED INFORMATION RECEIVED, THE REPORTED COMPLAINT COULD NOT BE CONFIRMED NOR RELATED TO A MANUFACTURING PROCESS. ALL ASSOCIATED LOT DOCUMENTATION WAS CAREFULLY REVIEWED WITH NO ISSUES OR DISCREPANCIES WERE FOUND RELATED TO THE REPORTED COMPLAINT. BASED ON THE ANALYSIS, THE OBSERVED OCCURRENCE OF HARM IMPROBABLE WHICH IS BELOW THE RANGE OF THE EXPECTED OCCURRENCE RATE THEREFORE CORRECTIVE ACTIONS ARE NOT DEEMED NECESSARY AT THIS TIME.

Description of Event or Problem · 0

CUSTOMER REPORTS: THERE IS AN ISSUE WITH THE REPLOGLE SUCTION CATHETER. THE NURSING STAFF TRIED ONE THIS MORNING AND IT WAS DEFECTIVE. ADDITIONAL INFORMATION WAS RECEIVED ON 4/14/22 STATING THAT THE REPLOGLE WAS FOUND OCCLUDED; IT WOULD NOT ASPIRATE OR FLUSH WITH AIR. THE DEVICE WAS REPLACED AND NO FURTHER MEDICAL INTERVENTION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
167155 8FR REPLOGLE SUCT CATH CATHETER (GASTRIC, COLONIC, ETC.), IRRIGATION AND ASPIRATION KDH CARDINAL HEALTH 8888256529 2126437964 10884521000711

Patients

Seq Age Sex Outcome Treatment
1 Unknown