inforMED
MalfunctionPWH

CADD CASSETTE RESERVOIR

Received Oct 29, 2020 · Event occurred Oct 1, 2020

Report 3012307300-2020-10795 · MDR key 10757225

Device

Generic name

Set, Administration, Intravascular

Model number

21-7600-24

Catalog number

21-7600-24

Lot number

3883724

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

OTHER, OTHER TEXT: DEVICE EVALUATION- TWO USED SAMPLES AND FOURTEEN UNUSED SAMPLES WERE RETURNED FOR EVALUATION. THE DEVICE WAS GIVEN FUNCTIONAL TESTING: ALL WERE FOUND TO FUNCTION WITH NO LEAKAGE DETECTED. THE REPORTED ISSUE WAS NOT CONFIRMED.

Description of Event or Problem

INFORMATION WAS RECEIVED INDICATING THAT IMMEDIATELY AFTER STARTING TO USE A SMITHS MEDICAL CADD CASSETTE RESERVOIR, THE CUSTOMER NOTICED MEDICAL FLUID WAS LEAKING FROM THE PART WHERE THE CONNECTOR AND THE TUBING WERE CONNECTED. THERE WAS NO PATIENT INJURY.