inforMED
MalfunctionFPK

LS LF REG EXT SET NON-DEHP

Received Apr 26, 2013 · Event occurred Apr 1, 2013

Report 9613251-2013-00113 · MDR key 3093471

Device

Generic name

80fpk

Manufacturer

Hospira Ltd.

Model number

NA

Catalog number

20667

Lot number

UNK4W

Product problems

  • Fluid/Blood Leak

Patient

NA

  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RECEIVED. INVESTIGATION IS NOT COMPLETE. THIS REPORT REPRESENTS ALL THE INFO KNOWN BY THE REPORTER UPON QUERY BY HOSPIRA PERSONNEL.

Description of Event or Problem

THE CUSTOMER CONTACT REPORTED A LEAK. ON AN UNSPECIFIED DATE, THE TUBING SET WAS TO BE USED TO DELIVER AN UNSPECIFIED MEDICATION. IT WAS REPORTED THAT PRIOR TO PATIENT USE, AN UNSPECIFIED VOLUME OF SOLUTION LEAKED. THE TUBING SET WAS RETURNED TO THE PURCHASING MANAGER WITH A NOTE THAT STATED, ¿COMING OUT THROUGH THE BLUE DIAL.¿ NO SPECIFIC DETAILS WERE PROVIDED. THOUGH REQUESTED, NO ADD¿L INFO WAS PROVIDED INCLUDING IF THE TUBING SET WAS REPLACED AND THE THERAPY WAS INITIATED.