MalfunctionFPK
MEDEX
Received Aug 6, 2021 · Event occurred Jun 29, 2021
Report 3012307300-2021-08160 · MDR key 12291323
Device
Generic name
Intravenous Extension Tubing Set
Manufacturer
Smiths Medical Asd, Inc.Model number
MX450FLLot number
4072121
Product problems
- Leak/Splash
- Leak/Splash
Patient
Not reported
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
IT WAS REPORTED THAT THE END OF THE DEVICE HAS PULLED OFF MULTIPLE TIMES CAUSING FLUID INCLUDING BLOOD TO BE LOST.