inforMED
MalfunctionFPK

MRIDIUM MRI SYRINGE ADAPTER SET 1000 SERIES

Received Mar 24, 2023 · Event occurred Feb 24, 2023

Report 16610034 · MDR key 16610034

Device

Generic name

Tubing, Fluid Delivery

Manufacturer

Iradimed Corp.

Model number

1057

Lot number

22L02N

Product problems

  • Complete Blockage
  • Fluid/Blood Leak
  • Defective Component
  • Manufacturing, Packaging or Shipping Problem
  • No Flow

Patient

330 DA · Male

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

Narrative

Description of Event or Problem

WHEN USING THE IRADIMED 1057 VENTED SYRINGE SET LOT 22L02N WITH THE IRADIMED SYRINGE PUMP WE HAD TWO FAULTS OCCUR DUE TO OCCLUDED VENT TUBES. THIS PRODUCT IS USED IN OUR MRI ROOMS. THE OCCLUSIONS ARE THERE FROM THE MANUFACTURER. THE FIRST FAULT THAT WE EXPERIENCE CAUSED THE PUMP TO ALARM FOR INLET OCCLUSION. THIS STOPPED THE INFUSION RESULTING IN A DELAY OF PATIENT CARE. NURSING STAFF HAD TO STOP THE SCAN AND REPLACE THE PATIENT'S IV SET. THE SECOND FAULT CAUSED PROPOFOL TO LEAK FROM THE TUBING DIRECTLY ABOVE THE FLOW PREVENTER. THE TUBING WAS REPLACED. UPON A SAMPLE INSPECTION OF OTHER NEW SETS IN STOCK WE FOUND TWO MORE THAT HAD OCCLUDED VENTS. THIS LOT HAS BEEN REPLACED. THE DEFECTIVE SETS WERE RETURNED TO IRADIMED FOR EVALUATION.