inforMED
MalfunctionPWH

CADD EXTENSION SETS

Received Oct 16, 2024 · Event occurred Dec 1, 2023

Report 3012307300-2024-11301 · MDR key 20465214

Device

Generic name

Administrations Sets With Neuraxial Connectors

Catalog number

21-7605-24

Lot number

UNKNOWN

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

B3: DAY OF EVENT IS UNKNOWN. DEVICE EVALUATION: ONE SAMPLE WAS RECEIVED. NO DAMAGE OR OTHER DEFECTS WERE DETECTED ON THE SAMPLE. DURING THE FUNCTIONAL TESTING, A LEAK WAS DETECTED AT THE JUNCTION BETWEEN THE TUBE AND THE CONNECTOR. THE CUSTOMER REPORTED ISSUE WAS CONFIRMED. A DEVICE HISTORY RECORD (DHR) REVIEW WAS UNABLE TO BE COMPLETED AS NO LOT NUMBER WAS PROVIDED.

Description of Event or Problem

IT WAS REPORTED THAT LIQUID LEAKAGE OCCURRED FROM EXTENSION TUBE DURING THE SELF-TEST. THERE WAS NO PATIENT INVOLVEMENT AND NO PATIENT HARM/ADVERSE EVENT REPORTED.