inforMED
MalfunctionFPB

INTRAVASCULAR EXTENSION SETS AND ACCESSORIES

Received Jun 11, 2021

Report 1416980-2021-03590 · MDR key 11986704

Device

Generic name

Filter, Infusion Line

Model number

NA

Catalog number

2N3382

Lot number

NI

Product problems

  • Crack
  • Fluid/Blood Leak
  • Crack
  • Fluid/Blood Leak

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED (8) MICRO-VOLUME EXTENSION SETS WERE OBSERVED CRACKED WHICH SUBSEQUENTLY LEAKED. IT WAS FURTHER REPORTED ¿A COUPLE LEAKED RIGHT OUT OF THE PACKAGE¿. THE EVENTS OCCURRED DURING AN UNSPECIFIED PROCESS STEP. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WAS ADDED TO H6. H10: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.