inforMED
MalfunctionPWH

CASSETTE RESERVOIR

Received Feb 27, 2025 · Event occurred Jan 23, 2025

Report 3012307300-2025-02294 · MDR key 21480125

Device

Generic name

Administrations Sets With Neuraxial Connectors

Catalog number

21-7600-24

Lot number

6022054

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

H6: EVALUATION CODES UPDATED. ONE DEVICE WAS RECEIVED FOR INVESTIGATION. THE DEVICE WAS VISUALLY INSPECTED AND FUNCTIONALLY TESTED. THE REPORTED COMPLAINT WAS CONFIRMED. THE PROBABLE CAUSE OF THE LEAK IS DUE TO INCONSISTENT SEALING OF THE INTERNAL BAG DURING MANUFACTURING. A DEVICE HISTORY RECORD (DHR) REVIEW REPORTED NO DISCREPANCIES OR NON-CONFORMANCES DURING THE MANUFACTURING OF THE REPORTED LOT NUMBER.

Additional Manufacturer Narrative

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 INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT THE CASSETTE WAS LEAKING WHEN IT WAS FILLED WITH MEDICINE. THERE WAS NO PATIENT INVOLVEMENT.