inforMED
MalfunctionDPW

FLOW COUPLER

Received Aug 18, 2022 · Event occurred Jun 20, 2022

Report 1416980-2022-04333 · MDR key 15253426

Device

Generic name

Flowmeter, Blood, Cardiovascular

Model number

NA

Catalog number

515101300010

Lot number

ASKU

Product problems

  • Difficult to Open or Close
  • Difficult to Open or Close

Patient

Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THREE (3) 3.0MM FLOW COUPLERS WOULD NOT CLOSE PROPERLY. THE ISSUE WAS IDENTIFIED DURING PATIENT USE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

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

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WAS ADDED TO H3, H6 AND H10. H10: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.