inforMED
MalfunctionBRZ

CLEARLINK

Received Aug 6, 2024 · Event occurred Jul 10, 2024

Report 1416980-2024-04069 · MDR key 19919023

Device

Generic name

Set, Blood Transfusion

Model number

MMC9627S

Catalog number

MMC9627S

Lot number

NI

Product problems

  • Filling Problem
  • Filling Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

E1: INITIAL REPORTER POSTAL CODE:(B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT AN UNDER INFUSION OF MEDICATION OCCURRED DURING THE USE OF A VENTED PACILITAXEL SET WITH CLEARLINK. AN OVERNIGHT INFUSION OF AMIODARONE WAS PREPARED, AND THE NEXT DAY IT WAS OBSERVED THAT AN UNDERINFUSION HAD OCCURRED. THIS WAS OBSERVED AFTER THERAPY. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. THERE WAS NO PATIENT INVOLVEMENT.

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.