inforMED
MalfunctionBRZ

CLEARLINK

Received Nov 11, 2024

Report 1416980-2024-06426 · MDR key 20652277

Device

Generic name

Set, Blood Transfusion

Model number

2C8750

Catalog number

2C8750

Lot number

ASKU

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

D4: LOT #: SUSPECTED LOTS ARE DR24D23062 OR DR24D08031. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT THE TUBING OF A CLEARLINK SYSTEM Y-TYPE BLOOD/SOLUTION SET DISLODGED FROM THE DRIP CHAMBER. THIS OCCURRED DURING PRIMING. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: D4: EXPIRATION DATE, H4, H6, H11. D4: EXPIRATION DATE FOR BOTH SUSPECT LOTS ARE N/A. H4: MANUFACTURING DATE FOR THE SUSPECTED LOT DR24D23062 WAS 04/24/2024 AND MANUFACTURING DATE FOR SUSPECTED LOT DR24D08031 WAS 04/09/2024. H11: A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THE SUSPECTED LOTS. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.