inforMED
MalfunctionOET

QUEST

Received Jun 25, 2009 · Event occurred Jun 11, 2009

Report MW5011746 · MDR key 1410840

Device

Generic name

Mes Delivery Set

Model number

5001102-AS

Lot number

34263A06

Product problems

  • Fluid/Blood Leak
  • Hole In Material

Patient

59 YR

  • No Information

Narrative

Description of Event or Problem

THE QUEST DELIVERY SET LEAKED WHILE DELIVERY CARDIOPLEGIA TO A PATIENT. THE SET HAD TO BE CHANGED OUT WHILE ON CARDIOPULMONARY BYPASS. AFTER INSPECTION, THERE WAS A HOLE LOCATED ON THE UPPER SIDE OF THE LEFT BLADDER OF THE DELIVERY SET.