MalfunctionFOZ
MEDSOURCE LABS
Received Feb 27, 2026 · Event occurred Jan 8, 2026
Report 3003674698-2026-01191 · MDR key 24475901
Device
Generic name
Clearsafe Comfort Blood Control 20g X 1.25"
Manufacturer
Medsource Labs LlcModel number
MS-86220Catalog number
MS-86220
Lot number
50475/0318
Product problems
- Material Separation
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
THE NEEDLE COMPLETELY BROKE AWAY FROM THE HUB. THE NEEDLE WAS LEFT INSIDE THE PLASTIC CATHETER INSIDE THE PATIENT. PERSONNEL WAS ABLE TO RETRIEVE THE NEEDLE AFTER NOTICING THE PROBLEM. THE PATIENT WAS NOT HARMED. THE PATIENT AND THE TRUCK WERE BOTH STILL WHILE THIS HAPPENED.