inforMED
MalfunctionDTL

MANIFOLD 2 PORT RIGHT HAND, ROTATING ADAPTOR OFF

Received Apr 9, 2026 · Event occurred Apr 8, 2026

Report 3004605321-2026-00001 · MDR key 24835214

Device

Generic name

Adaptor, Stopcock, Manifold, Fitting, Cardiopulmonary Bypass

Model number

60-2225

Lot number

62722578

Product problems

  • Crack

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

A USER FACILITY REPORTED, "WE HAD AN ISSUE WITH A MANIFOLD LEAKING. IT APPEARS THAT THERE IS A CRACK IN IT. I AM NOT SURE IF IT WAS THERE OR HAPPENED WHEN WE CONNECTED IT. INCIDENT HAPPENED DURING USE IN A PROCEDURE PERFORMED IN IRELAND."

Additional Manufacturer Narrative

A USER FACILITY REPORTED, "WE HAD AN ISSUE WITH A MANIFOLD LEAKING. IT APPEARS THAT THERE IS A CRACK IN IT. I AM NOT SURE IF IT WAS THERE OR HAPPENED WHEN WE CONNECTED IT. INCIDENT HAPPENED DURING USE IN A PROCEDURE PERFORMED IN IRELAND." DEROYAL INDUSTRIES, INC. REQUESTED RETURN OF THE DEVICE; HOWEVER, IT HAS NOT YET BEEN RECEIVED. THIS INVESTIGATION IS NOT COMPLETE AT THIS TIME. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. WE WILL PROVIDE FOLLOW-UP REPORT WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.