MalfunctionFPK
MEDEX
Received Aug 31, 2021 · Event occurred Apr 22, 2021
Report 12390987 · MDR key 12390987
Device
Generic name
Tubing, Fluid Delivery
Manufacturer
Smiths Medical Asd, Inc.Model number
MX451FLCatalog number
MX451FL
Lot number
4098130
Product problems
- Break
Patient
660 DA
- Insufficient Information
- Insufficient Information
Narrative
Description of Event or Problem
RN WAS ATTACHING TUBING EXTENSION FOR NORMAL SALINE LINE AND TUBING BROKE AT CONNECTION SITE. RN GRABBED ANOTHER OF THE SAME KIND AND SAME THING HAPPENED.