inforMED
MalfunctionFPK

MEDEX 4-WAY STOPCOCK EXTENSION SET

Received Mar 6, 2025 · Event occurred Jan 1, 2025

Report 9616567-2025-00036 · MDR key 21536808

Device

Generic name

Tubing, Fluid Delivery

Catalog number

MX43860

Lot number

6059665

Product problems

  • Disconnection
  • Disconnection

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 THEY HAD MULTIPLE INSTANCES OF THE EXTENSION WITH STOPCOCK GETTING DISCONNECTED AT THE CONNECTION WHERE THE STOPCOCK FUSED WITH THE EXTENSION PIECE. THERE WERE UNKNOWN PATIENT HARMS OR ADVERSE EVENTS REPORTED AS A RESULT OF THE EVENT.

Additional Manufacturer Narrative

DATE OF EVENT WAS UNKNOWN. NO PRODUCT WAS RECEIVED; THEREFORE, VISUAL AND FUNCTIONAL TESTING COULD NOT BE PERFORMED. THE REPORTED ISSUE COULD NOT BE CONFIRMED. IF THE PRODUCT IS RETURNED, THE MANUFACTURER WILL REOPEN THIS COMPLAINT FOR FURTHER INVESTIGATION.