inforMED
MalfunctionFPB

MEDEX

Received Jul 25, 2022 · Event occurred Jul 5, 2022

Report 15093603 · MDR key 15093603

Device

Generic name

Filter, Infusion Line

Model number

MX448HFB

Product problems

  • Fluid/Blood Leak
  • Product Quality Problem

Patient

Unknown

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

Narrative

Description of Event or Problem

AT 12:30 LIPID FILTER NOTED TO HAVE A SMALL DROP OF LIPIDS LEAKING FROM CONNECTION SITE. LIPIDS WERE THEN CLAMPED AND TURNED OFF PROVIDERS WERE MADE AWARE. MANUFACTURER RESPONSE FOR IV TUBING, MEDEX, NON-DEHP EXT SET 1.2-MICRON FILTER (PER SITE REPORTER). EMAILED REPRESENTATIVE EXPLAINING THE ISSUE AND REQUESTED AN RMA. SIMILAR PROBLEMS IN MAUDE. (B)(6) IDENTIFIED COMPLAINT CASE #(B)(4); SHIPPING LABEL RECEIVED; DEFECT SAMPLE TO BE SHIPPED UPS TODAY.