Shared on behalf of Quality and Risk Management
Thunder Bay Regional Health Sciences Centre has been alerted to issues with CHS MED-RX Paracentesis Tray – Drainage Tube with Connector (Supplier Code 10-1212BNS) in which the Luer lock component is susceptible to degradation when exposed to alcohol or alcohol-based substances, which may result in cracking or structural failure of the component prior to use.
Materials Management has identified affected stock in our inventory; however, we do not currently have an approved replacement. As our hospital does use alcohol-based disinfection products with this inventory, please note the following mitigation actions identified by Cardinal Health:
- Inspect inventory for the lots of products listed above.
- If this inventory has been affected, cracking or failure of the structural component may occur.
Subsequently, please take the following actions:
- Inspect connection ends carefully prior to use.
- If structural issues are apparent at time of inspection, immediately replace the tubing.
- Monitor for leaking during use, and replace tubing if leaking is noted.
- Complete an Incident Learning System report and reference the lot and expiration date of the tubing used.
- Notify your Manager and provide him/her with the faulty product.
We appreciate your efforts and cooperation in these extra steps to ensure patient safety until replacement inventory can be procured.