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Model Number MRDP50AXS |
Device Problem
Component Incompatible (1108)
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Patient Problem
Thrombosis (2100)
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Event Date 11/27/2020 |
Event Type
malfunction
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Manufacturer Narrative
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Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Event Description
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The device was being used for an arm insertion.After gaining access, positioning the catheter, and removing the peel-away sheath, it was discovered that the port stem was not compatible with the f size of the catheter.
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Manufacturer Narrative
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The customer returned one un-opened kit from the same lot.A visual examination of the port lumen and port was performed.The port stem is too large.The lumen cannot be attached to the port stem.The lot number on the port base corresponds to the port base for a 6.6f port.The 5f lumen cannot be attached to the port stem.A supplier corrective action request was issued to the contract manufacturer.Their investigation revealed the root cause was failure to properly follow procedures when pulling components for packaging.The written procedures will be updated to enhance the escalation process for quantity discrepancies.Physical locations in the warehouse will be established for the port families.The procedure for delivery to the production team will be updated to include material, lot number, and quantity received to be included in the work order.The implementation of a bar code system for taking materials from the warehouse will also be proposed.Device was used for treatment, not diagnosis.If information is obtained that was not avail able for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Search Alerts/Recalls
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