inforMED
MalfunctionFPK

ADMINISTRATION SET

Received Jun 2, 2026 · Event occurred May 21, 2026

Report 2245270-2026-00070 · MDR key 25360606

Device

Generic name

Administration Set,

Manufacturer

Vygon Usa

Model number

AMS -395-1

Product problems

  • Fluid/Blood Leak

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE RESULTS OF THIS INVESTIGATION ARE STILL PENDING AND WILL BE REPORTED TO THE FDA WITHIN THIRTY DAYS OF ITS CONCLUSION VIA A FOLLOW-UP MDR.

Description of Event or Problem

THE LUER PULLED AWAY FROM TUBING AT THE JUNCTION OF THE TUBING AND CUFF BROKE OFF.