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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC EPIDURAL CATHETERIZATION KIT NRFIT; Anesthesia conduction kit

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ARROW INTERNATIONAL LLC EPIDURAL CATHETERIZATION KIT NRFIT; Anesthesia conduction kit Back to Search Results
Catalog Number TU-05500-NRO
Device Problem No Flow (2991)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/06/2022
Event Type  malfunction  
Manufacturer Narrative
(b)(4).The device has not been returned for investigation.Teleflex will continue to monitor and trend related events.
 
Event Description
It was reported that the medical agent did not flow through the catheter.Therefore, the catheter was removed and replaced with a new one.
 
Manufacturer Narrative
(b)(4).The customer reported the catheter would not inject medication.The customer returned one snaplock assembly nrfit and lidstock.No epidural catheter was returned).The returned sample was visually examined with and without magnification.Visual examination of the returned snaplock assembly revealed the snaplock appears typical with no observed defects or anomalies.A functional flow test was performed on the returned snaplock assembly.A lab inventory epidural catheter was inserted from the proximal end into the returned snaplock assembly until it bottomed out and the snaplock assembly was closed.The components were confirmed to be secured by tugging gently.The snaplock assembly was connected to the lab leak tester and the pressure was increased to 10 psi to establish flow.Water could be seen immediately exiting the distal end of the catheter.The flow rate was measured at 8.2ml/min, which is within the specification of 1ml/min minimum.No blockages were found.In summary, the reported complaint of the catheter not injecting medication could not be confirmed based on the sample received.No epidural catheter was returned, only a snaplock assembly.The returned snaplock assembly passed a functional flow test and met flow rate specifications.A device history record review was performed on the epidural catheter with no evidence to suggest a manufacturing related issue.Therefore, based on this, this complaint investigation could not be determined based upon the information provided and the sample received.No further action is required at this time.
 
Event Description
It was reported that the medical agent did not flow through the catheter.Therefore, the catheter was removed and replaced with a new one.
 
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Brand Name
EPIDURAL CATHETERIZATION KIT NRFIT
Type of Device
Anesthesia conduction kit
Manufacturer (Section D)
ARROW INTERNATIONAL LLC
morrisville NC
Manufacturer (Section G)
ARROW INTERNATIONAL CR, A.S.
jamska 2359/47
zdar nad sazavou 591 0 1
EZ   591 01
Manufacturer Contact
jasmine brown
3015 carrington mill blvd
morrisville, NC 27560
9193614124
MDR Report Key15641390
MDR Text Key302570606
Report Number3006425876-2022-00842
Device Sequence Number1
Product Code CAZ
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 09/07/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/20/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberTU-05500-NRO
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/26/2022
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/25/2022
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage A
Patient Sequence Number1
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