CLIC BLOOD CHAMBER
Received Nov 15, 2021 · Event occurred Oct 1, 2021
Report 8030665-2021-01731 · MDR key 12817948
Device
Generic name
Accessories, Blood Circuit, Hemodialysis
Manufacturer
Erika De Reynosa, S.a. De C.v.Model number
CL10041021Catalog number
CL10041021
Lot number
21CR01019
Product problems
- Fluid/Blood Leak
- Fluid/Blood Leak
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT A CLIC BLOOD CHAMBER LEAKED BLOOD DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. THE LEAK WAS REPORTEDLY COMING FROM ¿THE JUNCTURE OF THE SMOOTH BLUE SECTION AND THE SQUARE BLUE/WHITE SECTION¿. THE SAMPLE WAS DISCARDED DUE TO CONCERNS OVER BLOOD EXPOSURE. IT IS UNKNOWN HOW MUCH BLOOD LOSS THERE WAS AS A RESULT OF THE REPORTED EVENT. MULTIPLE ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL, AND THUS FAR, NO FURTHER DETAILS HAVE BEEN PROVIDED.
Additional Manufacturer Narrative
PLANT INVESTIGATION: AS THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER, A PHYSICAL EVALUATION COULD NOT BE PERFORMED. A BATCH RECORDS REVIEW WAS CONDUCTED BY THE MANUFACTURER FOR THE REPORTED LOT. THERE WERE NO NON-CONFORMANCES OR ABNORMALITIES IDENTIFIED DURING THE MANUFACTURING PROCESS WHICH COULD BE ASSOCIATED WITH THE REPORTED EVENT. THE ENTIRE LOT HAS BEEN SOLD AND DISTRIBUTED. IN ADDITION, A DEVICE HISTORY REVIEW WAS PERFORMED AND CONFIRMED THAT THE RESULTS OF THE IN-PROGRESS AND FINAL QUALITY CONTROL (QC) TESTING MET ALL REQUIREMENTS. THE LOT MET ALL SPECIFICATIONS FOR RELEASE. A PRODUCT HISTORY REVIEW DID NOT REVEAL A PROBABLE CAUSE FOR THE CUSTOMER COMPLAINT. AS A PHYSICAL EVALUATION COULD NOT BE PERFORMED, A DEFINITIVE CONCLUSION REGARDING THE REPORTED INCIDENT COULD NOT BE REACHED AND A CAUSE COULD NOT BE CONFIRMED.
Description of Event or Problem
IT WAS REPORTED THAT A CLIC BLOOD CHAMBER LEAKED BLOOD DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. THE LEAK WAS REPORTEDLY COMING FROM ¿THE JUNCTURE OF THE SMOOTH BLUE SECTION AND THE SQUARE BLUE/WHITE SECTION¿. THE SAMPLE WAS DISCARDED DUE TO CONCERNS OVER BLOOD EXPOSURE. IT IS UNKNOWN HOW MUCH BLOOD LOSS THERE WAS AS A RESULT OF THE REPORTED EVENT. MULTIPLE ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL, AND THUS FAR, NO FURTHER DETAILS HAVE BEEN PROVIDED.
Additional Manufacturer Narrative
THE PLANT INVESTIGATION IS IN PROCESS. A SUPPLEMENTAL MDR WILL BE SUBMITTED UPON COMPLETION OF THIS ACTIVITY.