Catalog Number 682245 |
Device Problems
Leak/Splash (1354); Device Contamination with Chemical or Other Material (2944)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 02/19/2020 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(6).A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
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Event Description
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It was reported that an unspecified number of bd arterial cannulas 20g/1.10mm x 45mm experienced a catheter that broke/separated from the hub.Product defect was noted after use.The following information was provided by the initial reporter: when removing the arterial cannula, the cannula sleeve (the part that lies in the artery) came loose.
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Manufacturer Narrative
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H.6.Investigation summary: one sample was received by our quality team for evaluation.Upon visual inspection it was observed that the catheter tubing of the returned sample appeared to be broken.The leftover tubing is estimated to be 2mm long.The broken area was observed further under a microscope and two markings were observed on the nose area of the flow-switch housing.It was a clean cut.The incident could be verified.A simulation was carried out on a different arterial cannula by using scissors to brush past the nose area before cutting off the catheter tubing.This device was observed under the microscope as well.Similar marks and cutting was observed on that one as well.A device history record review found no non-conformances associated with this issue during production of this batch.The manufacturing process was reviewed.There are no metal parts that would contact the nose area of the flow-switch.There is also an automated vision inspection machine at the arterial cannula assembly machine, and it will auto reject any parts not meeting the lie distance requirement.If the catheter tubing was broken during manufacturing, its lie distance would most likely have failed and will automatically be rejected by the line.Based on the investigation, the broken catheter tubing mostly likely occurred by being cut by a sharp object such as a scissors during user application.The root cause of the broken catheter in the returned sample cannot be determined based on the above investigation.The broken catheter could have happened outside manufacturing process.Complaints received for this product and condition will continue to be tracked and trended.Information will be captured on trend reports and monitored.Our business regularly reviews the collected data for identification of emerging trends.
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Event Description
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It was reported that an unspecified number of bd arterial cannulas 20g/1.10mm x 45mm experienced a catheter that broke/separated from the hub.Product defect was noted after use.The following information was provided by the initial reporter: when removing the arterial cannula, the cannula sleeve (the part that lies in the artery) came loose.
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Search Alerts/Recalls
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