inforMED
MalfunctionPWH

CADD CASSETTE RESERVOIR

Received Dec 6, 2024 · Event occurred Oct 17, 2024

Report 3012307300-2024-14589 · MDR key 20873246

Device

Generic name

Administrations Sets With Neuraxial Connectors

Catalog number

21-7609-24

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

D3, H6: UPDATED. H3: ONE SAMPLE AND TWO PHOTOS WERE RECEIVED. THE SAMPLE WAS VISUALLY AND FUNCTIONALLY TESTED AND THE CUSTOMER REPORTED COMPLAINT WAS ABLE TO BE CONFIRMED. A LEAK WAS DETECTED IN THE MEDICATION BAG. A DHR REVIEW WAS UNABLE TO BE COMPLETED AS NO LOT NUMBER WAS PROVIDED.

Additional Manufacturer Narrative

A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED A BUBBLE ALARM HAS OCCURRED. THE CASSETTE WAS LEAKING. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.