FDA Adverse Event Other Summary report: N

INSERTION TRAY

MDR report key: 281811 · Received June 13, 2000

Report

Report Number
1056436-2000-00114
Event Type
Other
Date Received
June 13, 2000
Date of Event
May 13, 2000
Report Date
May 17, 2000
Manufacturer
NEOSTAR MEDICAL TECHNOLOGIES/HORIZON MEDICAL PRODUCTS, INC.
Product Code
KOC
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

IN 2000, THE FACILITY'S NURSE, MANAGER INFORMED THE MFR'S (MFR.) SALES REPRESENTATIVE OF THE FOLLOWING: THE NURSE FLUSHED THE CATHETER WITH SALINE. NURSE THEN ASPIRATED BLOOD THROUGH THE CATHETER AND NOTICED A SMALL PINHOLE APPROXIMATELY 2 CM ABOVE THE Y-HUB CONNECTION ON THE SILICONE EXTENSION. BLOOD LEAKED OUT OF THE SMALL HOLE AND AS A RESULT, THE PHYSICIAN REMOVED THE DEVICE. THE DEVICE IS SCHEDULED TO BE RETURNED TO THE MFR. FOR ANALYSIS. NO FURTHER DETAILS WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INSERTION TRAY ACUTE POLYURETHANE CATHETER KOC NEOSTAR MEDICAL TECHNOLOGIES/HORIZON MEDICAL PRODUCTS, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 21 YR Other