MalfunctionFPB

MEDEX

Received Feb 4, 2025 · Event occurred Dec 28, 2024

Report 21303343 · MDR key 21303343

Device

Generic name

Filter, Infusion Line

Manufacturer

Smiths Medical Asd, Inc.

Model number

MX448HFB

Lot number

UNKNOWN

Patient

NA · Prefer Not To Disclose

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

Narrative

Description of Event or Problem

PATIENT WITH UVC IN PLACE INFUSING TPN/IL. BEDSIDE RN NOTED TPN FILTER TO BE LEAKING SIGNIFICANTLY OUT OF Y-SITE. ALCOHOL CAP IN PLACE. NEW FLUIDS ORDERED TO BE HUNG. FILTER SAVED IN Q&S OFFICE. LOT # UNKNOWN.