inforMED
MalfunctionPWH

NRFIT

Received Jan 15, 2021 · Event occurred Nov 1, 2020

Report 3012307300-2021-00470 · MDR key 11177740

Device

Generic name

Administrations Sets With Neuraxial Connectors

Model number

21-7609-24

Catalog number

21-7609-24

Lot number

4010530

Product problems

  • Insufficient Flow or Under Infusion

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

ONLY THE MONTH ((B)(6)) AND YEAR (2020) OF THE EVENT DATE ARE KNOWN. (B)(6). DEVICE EVALUATION IN PROGRESS.

Description of Event or Problem

IT WAS REPORTED THAT DURING THE USE OF THE CADD CASSETTE RESERVOIR, THE OPERATOR NOTICED AIR BUBBLES IN THE MEDICATION BAG. THE PUMP ALSO PRODUCED AN "AIR IN-LINE DETECTED" ALARM. NO PATIENT INJURY OR COMPLICATIONS WERE REPORTED IN RELATION TO THIS EVENT.

Additional Manufacturer Narrative

OTHER TEXT: THREE PICTURES AND ONE UNIT WERE RETURNED FOR EVALUATION. THE UNIT WAS FILLED, PRIMED, AND CONNECTED WITHOUT DIFFICULTY. THE PUMP WAS SET RUNNING AND ALL ALARMS WERE TESTED. NO FAULT WAS FOUND WITH THE RETURNED DEVICE. THE DEVICE HISTORY RECORD WAS REVIEWED AND SHOWED THAT THIS DEVICE MET ALL MANUFACTURING SPECIFICATION FOR PRODUCT RELEASED FOR DISTRIBUTION. NO ISSUES WERE IDENTIFIED THAT WOULD HAVE IMPACTED THIS EVENT.