FDA Adverse Event Malfunction Summary report: N

EXPEL¿ MULTO-PURPOSE DRAINAGE CATHETER

MDR report key: 6893949 · Received September 26, 2017

Report

Report Number
6893949
Event Type
Malfunction
Date Received
September 26, 2017
Date of Event
August 3, 2017
Report Date
August 31, 2017
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OEI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PATIENT RETURNED TO HOSPITAL FOR DRESSING CHANGE DUE TO LEAKING ABSCESS DRAIN PLACED IN IR CT. THE TUBING AND STOPCOCK WERE NOT THE SOURCE OF THE LEAK. AFTER RT EVALUATED TUBE THE LEAK WAS FROM THE CATHETER HUB BEING CRACKED. PATIENT WAS KEPT AND PRE PROCEDURE WORK DONE IN SPEC PROCEDURE HOLDING AREA. DR. ORDERED FOR DRAINAGE CATHETER EXCHANGE AND TUBE WAS EXCHANGED UNDER X-RAY GUIDANCE. PATIENT WAS RECOVERED POST PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
673386 EXPEL¿ MULTO-PURPOSE DRAINAGE CATHETER DRAINAGE CATHETER OEI BOSTON SCIENTIFIC CORPORATION 39311-105 20546327

Patients

Seq Age Sex Outcome Treatment
1 37 YR