inforMED
MalfunctionPWH

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

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.