As reported, during a coronary angiography, the connector of a 6f 100cm judkins right (jr) 4 infiniti diagnostic catheter ¿did not match the triple tee plate¿ which resulted in an inability to ensure the sealing of fluid during the angiography.As a result, an unknown device was used as a replacement.There was no reported injury to the patient and the device will not be returned for evaluation.The hospital reported it as an adverse event to the china nmpa directly.The device will not be returned for evaluation.
|
Complaint conclusion: as reported, during a coronary angiography, the connector of a 6f 100cm judkins right (jr) 4 infiniti diagnostic catheter ¿did not match the triple tee plate¿ which resulted in an inability to ensure the sealing of fluid during the angiography.As a result, an unknown device was used as a replacement.There was no reported injury to the patient and the device will not be returned for evaluation.The device was not returned for analysis.A review of the manufacturing documentation associated with lot 10106175 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The event reported by the customer as ¿luer hub - catheters ¿ incompatibility/fit¿ could not be confirmed or further clarified without the return of the device and concomitant product.As such a definitive cause for the event could not be determined, however, handling factors and/or issues with the ¿triple tee plate¿ may have contributed to the reported event.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent to make the user aware of the risks.According to the instructions for use (ifu), although not intended as a mitigation of risk, ¿before use, flush all devices entering a blood vessel with sterile heparinized saline or a similar isotonic solution.¿ if the device cannot be connected to another device for flushing of the catheter it should not be used.Based on the information available and the phr review, there is no indication that the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
|