inforMED
MalfunctionOJA

CUSTOM KIT

Received Mar 24, 2026 · Event occurred Jan 27, 2026

Report 1721504-2026-00937 · MDR key 24676398

Device

Generic name

Basic Intravenous Administration Set

Catalog number

K08-YP042

Lot number

H3290227

Product problems

  • Contamination

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE SUSPECT DEVICE WAS RETURNED FOR EVALUATION. THE DEVICE WAS FOUND TO CONTAIN SALINE SOLUTION AS REPORTED. INSPECTION OF THE CLEAR TUBING FOUND A FREE-FLOATING OBJECT WITHIN THE SALINE IN THE TUBE. THIS OBJECT WAS INSPECTED UNDER MAGNIFICATION AND COMPARED TO A TAPPI CHART WHERE IT WAS FOUND TO BE LARGER THAN 0.20MM^2 WHICH IS UNACCEPTABLE. THE REPORTED FAILURE CAN BE CONFIRMED; HOWEVER, THE ROOT CAUSE OF THIS DEFECT IS UNABLE TO BE DETERMINED. A SEARCH OF THE COMPLAINT DATABASE WAS PERFORMED AND ONE SIMILAR COMPLAINT FOR THIS LOT NUMBER WERE FOUND. THE DEVICE HISTORY RECORD WAS REVIEWED, AND NO EXCEPTION DOCUMENTS WERE FOUND. NONCONFORMANCES OF THIS NATURE ARE MONITORED BY THE OPERATION TEAM. THIS COMPLAINT WILL BE USED TO TREND FOR SIMILAR COMPLAINTS.

Description of Event or Problem

THE ACCOUNT ALLEGES THAT THERE WAS A DEFECT IN THE PACKAGING RESULTING IN INCOMPLETE STERILIZATION OF THE CONTENTS. THE DEFECT WAS IDENTIFIED DURING PREPARATIONS FOR A MEDICAL PROCEDURE. NO PATIENT INTERACTION OR INJURY TO REPORT.