inforMED
MalfunctionFPB

MICRO-VOLUME EXTENSION SET

Received Jun 27, 2023 · Event occurred May 4, 2023

Report 1416980-2023-03172 · MDR key 17209622

Device

Generic name

Filter, Infusion Line

Model number

NA

Catalog number

2N3350

Lot number

DR22L09024

Product problems

  • No Flow
  • No Flow

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

H10: A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. 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 AN UNSPECIFIED QUANTITY OF NON-DEHP MICRO-VOLUME EXTENSION SETS WOULD NOT FLOW; FURTHER DESCRIBED AS "COULD GET NO LIQUID TO FLOW THROUGH". THIS WAS IDENTIFIED DURING USE WITH AN UNSPECIFIED PUMP. NEW TUBING WAS USED TO CONTINUE THERAPY. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.