MAUDE Adverse Event Report: ARROW INTERNATIONAL LLC ARROW ARTERIAL CATH SET: 18 GA X 8CM; CATHETER PERCUTANEOUS

Catalog Number SAC-00818-PBX

Device Problems Unable to Obtain Readings (1516); Obstruction of Flow (2423)

Patient Problems Pain (1994); Discomfort (2330)

Event Date 03/05/2023

Event Type  malfunction  

Manufacturer Narrative

Qn#(b)(4).

Event Description

It was reported that the :incident occured on (b)(6) 2023 in the rescucitation department.Involved a 41 year old female patient, weight 66 kg.The arterial catheter was inserted on (b)(6) 2023.After 24 hours it was dysfunctional: it was impossible to sample blood and get the reading of arterial pressure.Consequence: blood pressure was measured manually, which is not comfortable for the patient.A second arterial catheter was inserted to solve the issue.Device was discarded." additional information stated that arterial line was repositioned prior to manual measurement.No harm or consequence to patient reported.Patient condition reported as "stable".

Manufacturer Narrative

(b)(4).Complaint verification testing could not be performed as it was reported that the sample is not available for return.A device history record review was performed 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.

Event Description

It was reported that the :incident occured on 05 march 2023 in the resuscitation department.Involved a 41 year old female patient, weight 66 kg.The arterial catheter was inserted on (b)(6) 2023.After 24 hours it was dysfunctional: it was impossible to sample blood and get the reading of arterial pressure.Consequence: blood pressure was measured manually, which is not comfortable for the patient.A second arterial catheter was inserted to solve the issue.Device was discarded." additional information stated that arterial line was repositioned prior to manual measurement.No harm or consequence to patient reported.Patient condition reported as "stable".

• Brand Name: ARROW ARTERIAL CATH SET: 18 GA X 8CM
• Type of Device: CATHETER PERCUTANEOUS
• 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: katharine tarpley ; 3015 carrington mill blvd; morrisville, NC 27560
• MDR Report Key: 16702624
• MDR Text Key: 312945793
• Report Number: 3006425876-2023-00316
• Device Sequence Number: 1
• Product Code: DQY
• Combination Product (y/n): N
• Reporter Country Code: FR
• PMA/PMN Number: K171146
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,User Facility,Company Representative,Distributor
• Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date: 03/14/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Catalogue Number: SAC-00818-PBX
• Device Lot Number: 71F22J3131
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Initial Date Manufacturer Received: 03/14/2023
• Initial Date FDA Received: 04/07/2023
• Supplement Dates Manufacturer Received: 04/28/2023
• Supplement Dates FDA Received: 05/02/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 10/07/2022
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: NOT REPORTED; NOT REPORTED
• Patient Age: 41 YR
• Patient Sex: Female
• Patient Weight: 66 KG