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