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Received Sep 15, 2025 · Event occurred Aug 14, 2025
Report 1416980-2025-04613 · MDR key 23057665
Device
Generic name
Filter, Infusion Line
Manufacturer
Baxter Healthcare CorporationModel number
1C8740Catalog number
1C8740
Lot number
NI
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
ADDITIONAL INFORMATION WAS ADDED TO D1, D2A, D2B, D4, D9, H3, H6, AND H11: H11: THE DEVICE WAS RECEIVED FOR EVALUATION. A VISUAL INSPECTION WAS PERFORMED, AND THE SEPTUM OF THE Y-SITE WAS ABNORMALLY ASSEMBLED. THE REPORTED CONDITION WAS VERIFIED. THE CAUSE WAS DETERMINED TO BE FROM MANUFACTURING. A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Additional Manufacturer Narrative
SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem
IT WAS REPORTED THAT THE NEEDLE ACCESS POINT OF A MICRO-VOLUME EXTENSION SET HAD A DEFECTIVE RUBBER PORTION AND LEAKED. THIS WAS OBSERVED DURING USE. A PEDI PICC (PERIPHERALLY INSERTED CENTRAL CATHETER) WAS USED. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.