inforMED
MalfunctionDXT

CONTROL,SYRINGE,12ML,PAD,ROT,L/L,PC

Received Aug 5, 2025 · Event occurred Jul 18, 2025

Report 3015910259-2025-00054 · MDR key 22722968

Device

Generic name

Control,syringe,12ml,pad,rot,l/l,pc

Catalog number

DYNJSYR12CRP

Lot number

25BBD319

Product problems

  • Fluid/Blood Leak
  • Difficult to Flush
  • Fluid/Blood Leak
  • Difficult to Flush

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT ON (B)(6) 2025, THE CUSTOMER HAD DIFFICULTY ASPIRATING FLUIDS THROUGH THE MANIFOLD INTO THE SYRINGE AND THAT "FLUID ESCAPED PAST THE BLACK RUBBER PLUNGER" INSIDE THE CONTROL SYRINGE DURING A LEFT HEART CATH PROCEDURE. THE CUSTOMER SAID THE DEVICE WAS REPLACED WITH A SYRINGE FROM ROOM STOCK SUPPLIES AND THE PROCEDURE WAS ABLE TO BE COMPLETED. TO DATE, NO INFORMATION HAS BEEN RECEIVED TO INDICATE THAT A USER OR A PATIENT EXPERIENCED A DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, FOLLOW-UP CARE, OR OTHER ADVERSE HEALTH IMPACT ASSOCIATED WITH THE REPORTED PROBLEM/ISSUE. IN AN ABUNDANCE OF CAUTION, AND IN RESPONSE TO AN FDA 483 ISSUED FOR CFN 1417592 ON 22-JAN-2024, THIS MEDWATCH IS BEING FILED FOR THE REPORTED PROBLEM/ISSUE. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED THAT ON (B)(6) 2025, THE CUSTOMER HAD DIFFICULTY ASPIRATING FLUIDS THROUGH THE MANIFOLD INTO THE SYRINGE AND THAT "FLUID ESCAPED PAST THE BLACK RUBBER PLUNGER" INSIDE THE CONTROL SYRINGE DURING A LEFT HEART CATH PROCEDURE.