inforMED
MalfunctionFPB

INTERLINK MICRO-VOLUME EXTENSION SET

Received Dec 13, 2023 · Event occurred Nov 7, 2023

Report 1416980-2023-06480 · MDR key 18317935

Device

Generic name

Filter, Infusion Line

Model number

NA

Catalog number

2N3333

Lot number

DR23A13055

Product problems

  • No Flow
  • No Flow

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

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

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS NO FLOW THROUGH AN INTERLINK SYSTEM NON-DEHP T-CONNECTOR EXTENSION SET. THEY FLUSH NEW SOLUTION FOR IV ADMINISTRATION AND NOTED NO FLUSH. REMOVED THE TUBING AND TRIED JUST THE EXTENSION PIECE BUT STILL NO FLUSH. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WAS ADDED TO H6 AND H10. 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.