NRFIT EXTENSION SET W/ FILTER
Received Feb 10, 2025 · Event occurred Jan 11, 2025
Report 9617604-2025-00118 · MDR key 21344507
Device
Generic name
Administrations Sets With Neuraxial Connectors
Manufacturer
Smiths Healthcare Manufacturing S.a. De C.v.Catalog number
21-7608-24
Lot number
4405868
Product problems
- Fluid/Blood Leak
- Fluid/Blood Leak
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT A LIQUID LEAK OCCURRED DURING PRIMING. THIS OCCURRED BEFORE PATIENT USE/DURING PRIMING AT FACILITY. THERE WAS NO PATIENT INVOLVEMENT, AND NO PATIENT HARM/ADVERSE EVENT REPORTED.
Additional Manufacturer Narrative
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
DEVICE EVALUATION: ONE DEVICE WAS RECEIVED FOR DEVICE ANALYSIS. FUNCTIONAL TESTING AND VISUAL INSPECTION WAS PERFORMED. VISUAL INSPECTION FOUND NO DAMAGE OR ANOMALIES. FUNCTIONAL TESTING COULD CONFIRM THE REPORTED CUSTOMER COMPLAINT. A LEAK WAS OBSERVED FROM THE FILTER OUTLET TUBE. THE ROOT CAUSE IS DUE TO INCOMPLETE SOLVENT APPLICATION ERROR.