inforMED
MalfunctionPWH

NRFIT EXTENSION SET W/ FILTER

Received Apr 17, 2025 · Event occurred Jan 11, 2025

Report 3012307300-2025-04514 · MDR key 21860844

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

Additional Manufacturer Narrative

THIS FILE WAS ORIGINALLY INCORRECTLY FILED UNDER REGISTRATION NUMBER MRN 9617604-2025-00118. THE DATE OF THAT SUBMISSION WAS 2/10/2025. 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.

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.