inforMED
MalfunctionFPK

MEDEX SMALL BORE EXTENSION SET W/ THREE-WAY STOPCOCK

Received Feb 7, 2025 · Event occurred Dec 1, 2024

Report 9616567-2025-00019 · MDR key 21333501

Device

Generic name

Tubing, Fluid Delivery

Catalog number

MX43660

Lot number

4457071

Product problems

  • Disconnection
  • Disconnection

Patient

NA · Male

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE THREE-WAY STOPCOCKS ON THE A-LINES CAUSED MULTIPLE DISCONNECTIONS FROM THE A-LINES. THE CONNECTION WAS NOT SECURE ENOUGH AND COULD NOT BE MADE MORE SECURE LEADING TO DISCONNECTION. THE OPERATOR OF DEVICE WAS A HEALTH PROFESSIONAL. THERE WAS PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.

Additional Manufacturer Narrative

B3. DATE OF EVENT: MONTH AND YEAR OF EVENT HAVE BEEN PROVIDED, BUT DAY IS UNKNOWN. H3. REASON DEVICE NOT EVALUATED BY MFG: OTHER; DEVICE WAS NOT RETURNED TO MANUFACTURER. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Additional Manufacturer Narrative

THIS COMPLAINT WAS INCORRECTLY FILED UNDER THIS REGISTRATION NUMBER, PLEASE REFERENCE MRN 1526863-2025-00049-00 FOR DETAILS PERTINENT TO THIS EVENT.