inforMED
MalfunctionBRZ

CLEARLINK BLOOD RECIPIENT SET

Received Mar 29, 2024 · Event occurred Feb 29, 2024

Report 1416980-2024-01414 · MDR key 19004111

Device

Generic name

Set, Blood Transfusion

Model number

NA

Catalog number

2C8750

Lot number

DR23L07024

Product problems

  • Material Split, Cut or Torn
  • Material Split, Cut or Torn

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A CLEARLINK SYSTEM Y-TYPE BLOOD/SOLUTION SET "SNAPPED". THIS WAS OBSERVED AFTER THE PLATELET INFUSION COMPLETED; THE PLATELET SIDE OF BLOOD TUBING WAS CLAMPED AND THE SALINE SIDE WAS OPENED. THE PLATELET BAG FELL AND THE BAG WAS "WAS STILL SPIKED, AND THE TUBING HAD SNAPPED". THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

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

Additional Manufacturer Narrative

H10: TWO (2) ACTUAL DEVICES WERE RECEIVED FOR EVALUATION. A VISUAL INSPECTION WAS PERFORMED AND OBSERVED THAT THE SPIKE WAS SEPARATED FROM THE TUBING FOR BOTH SAMPLES. THE REPORTED CONDITION WAS VERIFIED. THE CAUSE OF THE CONDITION WAS DETERMINED TO BE RELATED TO AN 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.