PORTEX TUBES BLUSELECT SUCTIONAID
Received Jul 22, 2025 · Event occurred Jun 1, 2025
Report 3012307300-2025-08823 · MDR key 22571964
Device
Generic name
Bag, Reservoir
Manufacturer
Smiths Medical Czech Republic A. SModel number
101/870/070Catalog number
100/870/070CZ
Lot number
NI
Product problems
- Gas/Air Leak
- Gas/Air Leak
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
ONE USED DECONTAMINATED SAMPLE WAS RETURNED FOR ANALYSIS. FUNCTIONAL AND VISUAL TESTS WERE DONE, BUT THE REPORTED ISSUE COULD NOT BE DUPLICATED. THE CAUSE OF THE ISSUE COULD NOT BE IDENTIFIED. A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED WHICH INDICATED ALL INSPECTIONS WERE COMPLETED AND NO ISSUES WERE NOTED DURING MANUFACTURE.
Description of Event or Problem
IT WAS REPORTED THAT THERE WAS LEAKAGE. THIS OCCURRED DURING USE, AND THERE WAS NO REPORTED PATIENT HARM/ADVERSE EVENT.
Additional Manufacturer Narrative
B3: MONTH AND YEAR OF EVENT HAVE BEEN PROVIDED; DAY IS UNKNOWN. 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.