inforMED
MalfunctionBRZ

CLEARLINK

Received Jun 28, 2024 · Event occurred May 24, 2024

Report 1416980-2024-03287 · MDR key 19634402

Device

Generic name

Set, Blood Transfusion

Model number

2C8750

Catalog number

2C8750

Lot number

NI

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

H11: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. 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 WAS LEAKING FROM AN UNSPECIFIED LOCATION. DURING A BLOOD INFUSION, IT WAS NOTICED THAT THE SET TUBING WAS LEAKING, AND A SMALL AMOUNT OF BLOOD WAS FOUND ON THE FLOOR. 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.