FDA Adverse Event
Malfunction
Summary report: N
DELTRAN PLUS NEEDLELESS ARTERIAL BLOOD COLLECTION SYSTEM
MDR report key: 5009875
·
Received August 18, 2015
Report
- Report Number
- 5009875
- Event Type
- Malfunction
- Date Received
- August 18, 2015
- Date of Event
- May 11, 2015
- Report Date
- August 7, 2015
- Manufacturer
- UTAH MEDICAL PRODUCTS, INC.
- Product Code
- DRS
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
NURSING STAFF IDENTIFIED THREE NEWLY OPENED DELTRAN ARTERIAL TRANSDUCERS WHICH WERE BROKEN. NONE OF THE THREE IDENTIFIED HAD BEEN USED ON A PATIENT. THESE THREE BROKEN DEVICES WERE RETURNED TO THE MANUFACTURER. MANUFACTURER RESPONSE FOR PEDIATRIC ARTERIAL BLOOD COLLECTION KIT, DELTRAN PLUS NEONATAL/PEDIATRIC ARTERIAL BLOOD COLLECTION KIT (PER SITE REPORTER). INITIALLY, MANUFACTURER'S REP RESPONSE WAS TO REPLACE ONLY THE 3 BROKEN DEVICES, NOT THE ENTIRE LOT. THIS WAS RESOLVED WITH THE MANUFACTURER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 546229 | DELTRAN PLUS NEEDLELESS ARTERIAL BLOOD COLLECTION SYSTEM | TRANSDUCER, BLOOD-PRESSURE, EXTRAVASCULAR | DRS | UTAH MEDICAL PRODUCTS, INC. | 1142491 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO OTHER THERAPIES |