inforMED
MalfunctionFPK

MEDEX

Received Jun 22, 2021 · Event occurred May 14, 2021

Report 12040191 · MDR key 12040191

Device

Generic name

Tubing, Fluid Delivery

Model number

MX43860

Lot number

4121899

Product problems

  • Detachment of Device or Device Component

Patient

Not reported

  • Hemorrhage/Blood Loss/Bleeding
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Description of Event or Problem

TUBING COMES APART FROM THE STOPCOCK ON A-LINE. THIS CAUSES BLEEDING. DEVICE DISPOSED OF DUE TO BIOHAZARD.