|
This event was initially deemed not reportable based on our reporting strategy active at the time of the alert date; however, following a recent retrospective review of complaints this event was made reportable out of an abundance of caution.A review of the device history record is not possible as no lot number was provided; therefore, the udi-pi is unavailable.The actual complaint product was returned for evaluation.The sample device was examined showing that the tubing had signs of damages and discoloration.The tube was flushed through the y connector (proximal end), and slight resistance was felt while flushing.Some brownish substances were flushed out of the tube after couple attempts.There were multiple defects seen on the tubing.Black discoloration of tubing was visible at the entirety of it until the bolus tip (distal end) of the tube.First defect was approximately 60mm from the y-connector port, ballooned appearance tubing was observed.Second defect was approximately 4.5 inches from the bolus end tip.The tubing appeared to have expanded to form a balloon shape which burst axially causing for the balloon to have an opening/ split-tearing.A root cause has not been established.All information reasonably known as of 18 jun 2026 has been included in this health authority report.Should additional information be obtained, a follow-up health authority report will be provided.The information provided by avanos medical inc.Represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to avanos medical inc.Avanos medical inc.Has no independent knowledge of the reported event but is relaying the information provided by the user facility where the incident occurred.This product incident is documented in the avanos medical complaint database and identified as (b)(4).This information is submitted pursuant to 21 cfr 803, in compliance with the medical device reporting requirement and should not be considered to be an admission that an avanos medical inc.Product is defective or caused serious injury.
|