FDA Adverse Event
Malfunction
Summary report: N
PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR
MDR report key: 24581307
·
Received March 12, 2026
Report
- Report Number
- 3012307300-2026-02345
- Event Type
- Malfunction
- Date Received
- March 12, 2026
- Date of Event
- December 1, 2025
- Report Date
- March 12, 2026
- Manufacturer
- ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V.
- Product Code
- CAZ
- UDI-DI
- 10351688076083
- PMA / PMN Number
- K092657
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
A DHR (DEVICE HISTORY REVIEW) REVIEW COULD NOT BE PERFORMED DUE TO LOGISTICAL ISSUES WITH THE CLOSURE OF THE KEENE SITE AND THEIR TRANSFER OF DHR RECORDS. NO PRODUCT WAS RETURNED; THEREFORE, NO VISUAL AND FUNCTIONAL TESTS WERE PERFORMED, THE REPORTED COMPLAINT COULD NOT BE CONFIRMED, AND THE ROOT CAUSE COULD NOT BE DETERMINED. IF THE PRODUCT IS RETURNED, THE MANUFACTURER WILL REOPEN THIS COMPLAINT FOR FURTHER INVESTIGATION.
Description of Event or Problem · 0
IT WAS STATED THAT THE CATHETER CONNECTOR APPEARED TO BE OBSTRUCTED AND UNABLE TO INJECT MEDICATIONS THROUGH CONNECTOR. THERE WAS NO REPORTED PATIENT INVOLVEMENT AND THERE WAS NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 639219 | PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR | ANESTHESIA CONDUCTION KIT | CAZ | ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V. | 6076740 | 10351688076083 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |