inforMED
MalfunctionPWH

CADD INFUSION DISPOSABLES PORTFOLIO WITH NRFIT

Received May 7, 2021 · Event occurred Apr 7, 2021

Report 3012307300-2021-04084 · MDR key 11795119

Device

Generic name

Administrations Sets With Neuraxial Connectors

Model number

250 ML

Catalog number

21-7609-24

Lot number

4066515

Product problems

  • Fluid/Blood Leak
  • Insufficient Flow or Under Infusion
  • Fluid/Blood Leak
  • Insufficient Flow or Under Infusion

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

INFORMATION RECEIVED A SMITHS MEDICAL AMBULATORY INFUSION PUMPS/CADD CASSETTE RESERVOIRS - FLOW STOP MALFUNCTIONED.. REPORTED DURING THE USE OF THE PRODUCT ,MEDICAL FLUID LEAKED FROM IT. NO PATIENT INJURY REPORTED.

Additional Manufacturer Narrative

THIS REMEDIATION MDR WAS GENERATED UNDER PROTOCOL (B)(4), AS A RESULT OF WARNING LETTER CMS# (B)(4). NO PROBLEMS OR ISSUES WERE IDENTIFIED DURING THE DEVICE HISTORY RECORD REVIEW. SIX SAMPLES WERE RECEIVED DECONTAMINATED INSIDE A PLASTIC BAG WITH ITS ORIGINAL OPEN PACKAGE. VISUAL INSPECTION WAS PERFORMED AT 12 TO 16 INCHES UNDER NORMAL CONDITIONS OF ILLUMINATION. DURING THE FUNCTIONAL TESTING, THE SAMPLES WERE TESTED FOR LEAKS BY PASSING WATER THROUGH IT; LEAKS WERE DETECTED IN THE LUER. THE COMPLAINT WAS CONFIRMED. THE ROOT CAUSE WAS RELATED TO THE USE OF AN INADEQUATE USED IN THE OPERATION. CHANGED THE TYPE OF SOLVENT DISPENSER, BECAUSE IT WAS IDENTIFIED IS NOT THE APPROPRIATE FOR THIS ASSEMBLY.