inforMED
MalfunctionFLD

MARS

Received Dec 3, 2021 · Event occurred Nov 7, 2021

Report 3007697864-2021-00002 · MDR key 12925170

Device

Generic name

Apparatus, Hemoperfusion, Sorbent

Model number

NA

Catalog number

800541

Lot number

0000025311

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: H3, H6 AND H10 H10: THE ACTUAL DEVICE WAS NOT AVAILABLE; HOWEVER, FOUR (4) PHOTOGRAPHS OF THE SAMPLE WERE PROVIDED FOR EVALUATION AND THE REPORTED CONDITION WAS VERIFIED. THE CAUSE COULD NOT BE DETERMINED. A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

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

Description of Event or Problem

IT WAS REPORTED THAT DURING TREATMENT WITH A MARS TREATMENT KIT, A LEAKAGE WAS OBSERVED FROM THE ION EXCHANGER, SPECIFIED AS THE TOP AND BOTTOM OF THE EXCHANGER WHERE IT IS CONNECTED TO THE MIDDLE PART OF THE FILTER. NO VISIBLE CRACKS ON THE FILTER WERE OBSERVED. THERE WAS NO PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT.