inforMED
MalfunctionBRZ

NI

Received Apr 14, 2025

Report 1416980-2025-02125 · MDR key 21835774

Device

Generic name

Set, Blood Transfusion

Model number

NI

Catalog number

NI

Lot number

NI

Product problems

  • No Flow
  • No Flow

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: E3, G2 (ADD SOURCE), H6 (UPDATE CODES), H11. CORRECTION: E1 (INCLUDING UPDATING E1: INITIAL REPORTER PHONE NO. TO NI). H11: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

D4: UNIQUE IDENTIFIER (UDI) #: THE UDI COULD NOT BE PROVIDED AS THE PRODUCT CODE, LOT NUMBER AND EXPIRATION DATE UDI ARE UNKNOWN. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT AN UNSPECIFIED BLOOD - SOLUTION SET DID NOT RUN DURING USE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.