MEDLINE
Received Jul 3, 2026 · Event occurred Jun 10, 2026
Report 1417592-2026-03787 · MDR key 25709252
Device
Generic name
Modified Jackson Rees
Manufacturer
Medline Industries, LpCatalog number
DYNJAP4756
Lot number
25EBP171
Product problems
- Connection Problem
Patient
Not reported
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
IT WAS REPORTED THAT DETERIORATION OCCURRED AT THE CONNECTION BETWEEN THE RESERVOIR BAG AND FLOW CONTROL VALVE OF A JACKSON-REES CIRCUIT. THERE WERE NO REPORTS OF DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, OR FOLLOW UP CARE. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR AGAIN. IN AN ABUNDANCE OF CAUTION, THIS IS A REPORTABLE EVENT. IF ADDITIONAL INFORMATION BECOMES AVAILABLE THIS REPORT WILL BE REOPENED AND REEVALUATED.
Description of Event or Problem
IT WAS REPORTED THAT DETERIORATION OCCURRED AT THE CONNECTION BETWEEN THE RESERVOIR BAG AND FLOW CONTROL VALVE OF A JACKSON-REES CIRCUIT.