inforMED
MalfunctionKJG

SPIKE ADAPTER

Received Aug 8, 2025 · Event occurred Jul 18, 2025

Report MW5174282 · MDR key 22755214

Device

Generic name

Tube, Tissue Culture

Model number

REF 2S-P20

Lot number

V23141

Product problems

  • Disconnection

Patient

41 YR · Male

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

Narrative

Description of Event or Problem

WHEN PATIENT WAS RECEIVING STEM CELLS, RN ATTEMPTED TO PULL OUT SPIKE FROM FIRST BAG OF CELLS TO SPIKE THE SECOND BAG OF CELLS, AND THE SPIKE DISCONNECTED FROM THE TUBING. NEW SPIKE ACQUIRED AND CONNECTED TO TUBING. NO CELLS WERE LOST AND PATIENT WAS NOT HARMED.