In Reply:—

Recently, we were notified that an article entitled, “An unusual case of catheter obstruction” was submitted for publication in ANESTHESIOLOGY. The article was written by Dr. Dharmender Chandhok of Beth Israel Deaconess Medical Center, who experienced some difficulties with one of our epidural catheter connectors. Our subsequent examination of the returned product confirmed that the inner lumen of the connector was occluded because of an isolated molding anomaly.

We are dedicated to providing our customers with products of the highest quality and continuously monitor incident reports to ensure that we can quickly isolate and correct any problems that may occur. B. Braun Medical, Inc. has been manufacturing this product for more then 15 yr, with more than 4 million catheter connectors produced annually. To date, we have never received a report of this nature for this product. This is also supported by the author, who concurs that he has not previously encountered this condition. We would agree with Dr. Chandhok that his difficulties may have been avoided by a cursory visual examination of the product and sincerely appreciate his bringing this matter to our attention.