inforMED
MalfunctionBRZ

CLEARLINK

Received Sep 5, 2024 · Event occurred Aug 8, 2024

Report 1416980-2024-04777 · MDR key 20150215

Device

Generic name

Set, Blood Transfusion

Model number

2C8750

Catalog number

2C8750

Lot number

DR24C12031

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

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 LEAKED FROM THE Y-SITE PORT (CLEARLINK) CLOSEST TO THE PATIENT. THIS WAS OBSERVED WHEN THE PATIENT WAS RECEIVING BLOOD. 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

ADDITIONAL INFORMATION: H4, H6, H11. H11: THE ACTUAL DEVICE WAS NOT AVAILABLE; HOWEVER, A PHOTOGRAPH OF THE SAMPLE LABEL ONLY WAS PROVIDED FOR EVALUATION. THERE WAS NO PHOTOGRAPH OF THE DEVICE WITH THE REPORTED CONDITION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. 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.