inforMED
MalfunctionGAZ

N-C CONN TUBE 5MM X3.0M

Received Jul 14, 2023 · Event occurred Jul 5, 2023

Report 9612030-2023-03762 · MDR key 17327159

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Product code (GAZ)
Manufacturer (Cardinal Health)
Model (8888301523)

Device

Generic name

Tubing, Noninvasive

Manufacturer

Cardinal Health

Model number

8888301523

Catalog number

8888301523

Lot number

2219612664

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

PLEASE DISREGARD THIS REPORT NUMBER (9612030-2023-03762). FURTHER INFORMATION DETERMINED THAT AN DETACHMENT OF THIS DEVICE IS NOT FDA REPORTABLE.

Additional Manufacturer Narrative

BASED ON THE INFORMATION AVAILABLE TO US, WE WERE UNABLE TO CONFIRM THE EVENT. IN THE MEANTIME, ALL INFORMATION RECEIVED WILL BE USED FOR FURTHER TRACKING AND TRENDING PURPOSES.

Description of Event or Problem

CUSTOMER REPORTS: THERE WERE THREE CASES WHERE THE BLUE GRIP CAME OFF DURING USE. ALL THREE OF THE ACTUAL PRODUCTS ARE DISCARDED DUE TO BLOOD ADHESION AND CANNOT BE COLLECTED.

Additional Manufacturer Narrative

AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED. H3: DEVICE EVALUATION COMMENT - THE CUSTOMER STATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION BECAUSE IT WAS DISCARDED DUE TO CONTAMINATION.