FDA Adverse Event
Malfunction
Summary report: N
SKATER ALL-PURPOSE DRAINAGE CATHETER LOCKING PIGTAIL 8FR X 25CM
MDR report key: 16372209
·
Received February 14, 2023
Report
- Report Number
- 0001625425-2023-00967
- Event Type
- Malfunction
- Date Received
- February 14, 2023
- Date of Event
- February 6, 2023
- Report Date
- February 14, 2023
- Manufacturer
- ARGON MEDICAL DEVICES
- Product Code
- OAJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
ACCORDING TO THE PRODUCT EXPERIENCE REPORT, THERE WAS NO SAMPLE TO BE RETURNED. ADDITIONALLY, NO PHOTOGRAPHIC OR VISUAL EVIDENCE OF ANY KIND WAS PROVIDED WHICH WOULD HAVE ALLOWED FOR THE ALLEGATION TO BE REVIEWED. WITHOUT SUCH EVIDENCE, THIS COMPLAINT COULD NOT BE CONFIRMED AND DETERMINING A DEFINITE ROOT CAUSE AND CORRECTIVE ACTION IS NOT POSSIBLE. IF THE SAMPLE IS RETURNED AT A FUTURE DATE, A FOLLOW-UP REPORT WILL BE SUBMITTED.
Description of Event or Problem · 0
THERE IS DIFFICULTY WHEN INSERTING THE DEVICE INTO THE PATIENT, IT IS NOT POSSIBLE TO PERFORM DIRECT PUNCTURE AND WITH THE NEED TO USE OTHER DEVICES TO INSERT THE CATHETER. IT HAS HAPPENED SEVERAL TIMES, REPORTS THE INSTITUTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 703426 | SKATER ALL-PURPOSE DRAINAGE CATHETER LOCKING PIGTAIL 8FR X 25CM | SKATER | OAJ | ARGON MEDICAL DEVICES | 756508025 | 11442606 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention| O |