UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-07-25 for UNK manufactured by Medline Industries Inc..

Event Text Entries

[81136785] The account reported the tip of a suction catheter was discovered to be missing during a c-section. Account stated there did not appear to be any fracture lines on the catheter, but could not rule out the tip breaking and falling into the surgical site. The surgical site was surgically explored and the tip was not found. The patient was monitored and no adverse medical problems occurred. The account listed both cardinal health and medline as the manufacturers. Multiple attempts were made to obtain a product number was not provided for the c-section pack or for the suction catheter device. The suction catheter was returned and the root cause cannot be determined. However, it cannot be ruled out that the tip was broken prior to use or user error as a factor. Due to the reported incident and in an abundance of caution this medwatch is being filed.
Patient Sequence No: 1, Text Type: N, H10


[81136786] It was reported that the tip of a suction catheter may have broken and fallen into a surgical site.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1423395-2017-00020
MDR Report Key6742361
Date Received2017-07-25
Date of Report2017-07-25
Date of Event2017-05-24
Date Mfgr Received2017-06-26
Date Added to Maude2017-07-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MEGAN DEBUS
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameSUCTION CATHETER IN C-SECTION PACK
Product CodeOHM
Date Received2017-07-25
Catalog NumberUNK
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-07-25

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