inforMED
MalfunctionBRZ

CLEARLINK

Received Jun 28, 2024 · Event occurred Apr 18, 2024

Report 1416980-2024-03301 · MDR key 19639130

Device

Generic name

Set, Blood Transfusion

Model number

2C8750

Catalog number

2C8750

Lot number

DR24B02086

Product problems

  • Detachment of Device or Device Component
  • 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

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

Description of Event or Problem

IT WAS REPORTED THAT THE TUBING OF A CLEARLINK SYSTEM Y-TYPE BLOOD/SOLUTION SET SEPARATED AT THE POINT WHERE THE TUBING IS INSERTED INTO THE SOLID PLASTIC SPIKE. THE PROCESS STEP WAS NOT SPECIFIED; HOWEVER, THIS WAS OBSERVED DURING PRODUCT USE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

B5: UPDATED INFORMATION WAS RECEIVED THAT, THE ISSUE OCCURRED DURING PATIENT INFUSION. H11: THE ACTUAL DEVICE WAS NOT AVAILABLE; HOWEVER, A PHOTOGRAPH OF THE SAMPLE WAS PROVIDED FOR EVALUATION. VISUAL INSPECTION OF THE PHOTOGRAPH OBSERVED A SEPARATION BETWEEN THE SPIKE AND TUBING. THE REPORTED CONDITION WAS VERIFIED. THE CAUSE OF THE CONDITION COULD NOT BE DETERMINED. 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.