inforMED
MalfunctionBRZ

CLEARLINK BLOOD RECIPIENT SET

Received Mar 20, 2024 · Event occurred Feb 22, 2024

Report 1416980-2024-01246 · MDR key 18946270

Device

Generic name

Set, Blood Transfusion

Model number

NA

Catalog number

2C8750

Lot number

DR24A02055

Product problems

  • Fluid/Blood Leak
  • Detachment of Device or Device Component
  • Fluid/Blood Leak
  • Detachment of Device or Device Component

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

H10: THE DEVICE WAS RECEIVED FOR EVALUATION. VISUAL INSPECTION WAS PERFORMED WHICH OBSERVED THE SPIKE WAS SEPARATED FROM THE TUBING. THE REPORTED CONDITION WAS VERIFIED. THE CAUSE OF THE CONDITION WAS DETERMINED TO BE ASSEMBLY ISSUE DURING MANUFACTURING. A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. 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 A CLEARLINK SYSTEM Y-TYPE BLOOD/SOLUTION SET LEAKED. THE TUBING CONNECTED TO THE SPIKE END ATTACHED TO A PLATELET UNIT DETACHED. THIS WAS OBSERVED DURING SETUP, AFTER THE TUBING WAS SPIKED WITH SALINE AND PLATELETS (THE UNITS WERE INVERTED). THE NURSE WAS SPLASHED BY THE PLATELET UNIT; HOWEVER, THERE WAS NO REPORT OF INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.