Catalog Number AK-05502 |
Device Problems
Coiled (1098); Entrapment of Device (1212); Difficult to Remove (1528)
|
Patient Problem
No Information (3190)
|
Event Date 06/28/2016 |
Event Type
malfunction
|
Manufacturer Narrative
|
(b)(4).The device is not expected to be returned for investigation.The manufacturer will continue to monitor and trend related events.
|
|
Event Description
|
On (b)(6) 2016 a post pregnancy patient was undergoing a routine removal of an arrow epidural catheter.The physician started to have resistance while trying to remove the device, as to not create any issue to the patient, the physician ordered a cat scan which revealed the "tip looped within the posterior epidural space".On (b)(6) 2016, the patient underwent a second medical intervention to remove the catheter.The patient's condition is unknown.
|
|
Manufacturer Narrative
|
(b)(4).A device history record review was performed on the epidural catheter with no relevant findings.The ifu for this kit, e-17019-100d; rev.02, was reviewed as a part of this complaint investigation.The ifu warns the user, "never tug or quickly pull on catheter during removal from patient to reduce risk of catheter breakage.Do not apply additional tension on the catheter if catheter begins to stretch excessively.Reposition patient to open the vertebral interspaces and re-attempt removal if resistance is encountered or if catheter stretches excessively during removal.During epidural catheter removal, the literature indicates a force of approximately 1/3 of a pound is all that is necessary to exert if patient is properly positioned in the recommended lateral neutral position." a corrective action is not required at this time as a potential root cause could not be determined based upon the information provided and without a sample.Complaint verification testing could not be performed as no sample was returned for analysis.A device history record review was performed on the catheter with no evidence to suggest a manufacturing related cause.The potential cause of catheter being difficult to remove could not be determined based upon the information provided and without a sample.
|
|
Event Description
|
On (b)(6) 2016 a post pregnancy patient was undergoing a routine removal of an arrow epidural catheter.The physician started to have resistance while trying to remove the device, as to not create any issue to the patient, the physician ordered a cat scan which revealed the "tip looped within the posterior epidural space".On (b)(6) 2016, the patient underwent a second medical intervention to remove the catheter.The patient's condition is unknown.
|
|
Search Alerts/Recalls
|