inforMED
MalfunctionFIP

ULTRAFILTER HECHINGEN

Received Oct 3, 2024 · Event occurred Sep 6, 2024

Report 9611369-2024-00175 · MDR key 20359533

Device

Generic name

Subsystem, Water Purification

Model number

NA

Catalog number

NI

Lot number

NI

Product problems

  • Break
  • Fluid/Blood Leak
  • Break
  • Fluid/Blood Leak

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

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 U9000 ULTRAFILTER WAS OBSERVED TO BE BROKEN AND LEAKED DURING AN AK96 MACHINE DISINFECTION PROCESS. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

H11: THE DEVICE WAS EVALUATED ON-SITE BY A QUALIFIED TECHNICIAN. VISUAL INSPECTION SHOWED THE ULTRAFILTER TO BE BROKEN AND LEAKING. THE DEVICE WAS REPLACED TO ADDRESS THIS ISSUE. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.