The customer reported the following complaint regarding an infant delivered at 28 weeks and 6 days: the patient was stabilized with cpap initiation.An umbilical arterial (uac) and venous (uvc) catheters were inserted at delivery.The uac was a 3.5 fr.Single lumen inserted by the neonatal nurse practitioner (nnp).Approximately 1 hour after insertion and approximately 10 minutes after starting a premasol infusion, the uac was noted to be leaking from a hole at the end near the hub.On inspection, the np noted a "crack" in the catheter.The line was clamped and then removed.
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A device history review revealed no discrepancies that may have contributed to a complaint of this reported condition.All quality assurance testing performed during manufacturing was acceptable.The quality assurance review of the visual, physical and dimensional evaluation results indicated that the product met specification requirements.In addition, all dhr are reviewed for accuracy prior to product release.The actual sample involved in the reported incident was not returned for evaluation.No additional information, pictures or videos were received.Consequently, it was not possible to evaluate it as part of a comprehensive failure investigation.No probable cause was found since no samples, picture or video were received for testing, therefore the reported condition is not confirmed.If the sample is returned in the future, this complaint will be re-opened for further investigation.Manufacturing performs 100% leak testing as per procedure which would identify this issue in the catheter assembly.No trends or triggers have been found therefore, a corrective or preventive action is not deemed necessary at this time.It must be noted that in-process controls (such as personnel training, incoming quality acceptance testing for raw material, 100% in process visual inspection and visual acceptance sampling are performed in the plant) are in place to prevent nonconforming product from leaving the manufacturing operations.This complaint will be used for tracking and trending purposes.If information is provided in the future, a supplemental report will be issued.
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