inforMED
MalfunctionBRZ

Y-TYPE BLOOD/SOLUTION SET

Received Oct 28, 2024 · Event occurred Oct 11, 2024

Report MW5161832 · MDR key 20565830

Device

Generic name

Set, Blood Transfusion

Model number

2C8750

Lot number

(10) DR24D08031

Patient

71 YR · Male

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

Narrative

Description of Event or Problem

THE PATIENT PRESENTED TO THE MEDICAL CENTER ON (B)(6)2024 FOR A PACKED RED BLOOD CELL INFUSION. THE RN WAS USING THE BAXTER Y-TYPE BLOOD TUBING TO CONNECT THE PATIENT TO START BLOOD TRANSFUSION. WHEN CONNECTING THE TUBE ATTACHED TO THE DRIP CHAMBER GOT DISLODGED. THE RN HAD TWO PACKAGES OPEN AT THE TIME OF THE EVENT AND WAS UNABLE TO DETERMINE WHICH OF THE 2 LOT NUMBERS WERE UTILIZED. LOT #: (10) DR24D08031 OR (10) DR24D23062.