ARROW HEMODIALYSIS KIT: 2-L 15 FR X 19 CM
Report
- Report Number
- 9680794-2026-00280
- Event Type
- Malfunction
- Date Received
- April 17, 2026
- Date of Event
- March 23, 2026
- Report Date
- March 23, 2026
- Manufacturer
- ARROW INTERNATIONAL LLC
- Product Code
- PPO
- UDI-DI
- 30801902195273
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
(B)(4)
(B)(4). THE REPORT OF A CRACKED LUER HUB WAS CONFIRMED THROUGH COMPLAINT INVESTIGATION OF THE RETURNED SAMPLE. VISUAL ANALYSIS REVEALED SIGN IFICANT CRAZING ON BOTH LUER HUBS. MINOR SURFACE CRACKING WAS NOTED ON THE ARTERIAL LUER HUB. A SIGNIFICANT CRACK WAS OBSERVED ON THE VENOUS LUER HUB. THE THREADS ON THE VENOUS LUER HUB APPEARED WORN AND DEFORMED. AN OBSTRUCTION WAS NOTED INSIDE THE VENOUS LUER HUB. DISCOLORATION WAS NOTED ON BOTH LUER HUBS, EXTENSION LINES, AND JUNCTURE HUB. NO OTHER DEFECTS OR ANOMALIES WERE OBSERVED. THE RETURNED DEVICE PASSED FUNCTIONAL TESTING FOR THE ARTERIAL LINE AND NO LEAKS WERE NOTED. THE VENOUS LINE WAS UNABLE TO BE FUNCTIONALLY TESTED. A DEVICE HISTORY RECORD REVIEW WAS PERFORMED, AND THERE WERE NO RELEVANT FINDINGS. ADDITIONAL INFORMATION WAS REQUESTED. ADDITIONAL INFORMATION WAS RECEIVED. NO ALCOHOL IMPREGNATED CAPS WERE USED. POVIDONE-IODINE WAS USED TO DISINFECT THE CATHETER HUB. THE LUER HUB CAPS WERE NOT OVERTIGHTENED. AN INVESTIGATION HAD PREVIOUSLY BEEN INITIATED TO FURTHER INVESTIGATE THIS ISSUE. IT WAS DETERMINED THAT THE OBSERVED DAMAGE IS CONSISTENT WITH DAMAGE DUE TO SOLVENT EXPOSURE. A PROJECT HAS BEEN CREATED WITHIN THE TELEFLEX QUALITY SYSTEM TO REPLACE THE HUB MATERIAL. BASED ON THE CUSTOMER REPORT AND THE SAMPLE RECEIVED, THE PROBABLE CAUSE IS LIKELY DESIGN RELATED. TELEFLEX WILL CONTINUE TO MONITOR AND TREND FOR REPORTS OF THIS NATURE.
IT WAS REPORTED THAT: "ON (B)(6) 2026, A DIALYSIS NURSE DISCOVERED PATIENT WHO HAD BLEEDING FROM A CRACKED LUER HUB BEFORE UNDERGOING DIALYSIS. THERE WAS NO REPORTED PATIENT HARM."
IT WAS REPORTED THAT: "ON (B)(6) 2026, A DIALYSIS NURSE DISCOVERED PATIENT WHO HAD BLEEDING FROM A CRACKED LUER HUB BEFORE UNDERGOING DIALYSIS. THERE WAS NO REPORTED PATIENT HARM."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 18643 | ARROW HEMODIALYSIS KIT: 2-L 15 FR X 19 CM | CATHETER, HEMODIALYSIS, IMPLA | PPO | ARROW INTERNATIONAL LLC | 33F25D0125 | 30801902195273 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | NOT REPORTED.| NOT REPORTED. |