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Model Number IPN918726 |
Device Problem
Obstruction of Flow (2423)
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Patient Problem
Low Blood Pressure/ Hypotension (1914)
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Event Date 12/01/2023 |
Event Type
malfunction
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Event Description
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It was reported "several patients were involved in similar incidents where non-administration of norepinephrine, linked to obstruction of the catheter's side eyes by clot formation, led to significant variations in blood pressure in the patients concerned.Additional information reports, "to solve the problem, we first swapped the noradrenaline on the distal line, then changed the catheter in a second step.The 2nd kit was inserted with no problem".The patient's current condition is reported as fine with the "patient out of the department".Associated mdr number 3006425876-2024-00170.
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Manufacturer Narrative
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(b)(4).
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Manufacturer Narrative
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(b)(4).Complaint verification testing could not be performed as no sample was returned for analysis.The instructions for use (ifu) provided with this kit warns the user, "ensure catheter patency prior to use.Do not use syringes smaller than 10 ml to reduce risk of intraluminal leakage or catheter rupture.Minimize catheter manipulation throughout procedure to maintain proper catheter tip position." a device history record review was performed based on a potential lot from sales history, and no relevant findings were identified.Without the device to evaluate, the complaint could not be confirmed, and the probable cause could not be determined from the available information.Teleflex will continue to monitor and trend for reports of this nature.
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Event Description
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It was reported "several patients were involved in similar incidents where non-administration of norepinephrine, linked to obstruction of the catheter's side eyes by clot formation, led to significant variations in blood pressure in the patients concerned.Additional information reports, "to solve the problem, we first swapped the noradrenaline on the distal line, then changed the catheter in a second step.The 2nd kit was inserted with no problem".The patient's current condition is reported as fine with the "patient out of the department".Associated mdr number 3006425876-2024-00170.
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Search Alerts/Recalls
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