inforMED
MalfunctionFPA

ACCESS

Received Aug 11, 2014 · Event occurred Jul 15, 2014

Report 1416980-2014-26019 · MDR key 3998815

Device

Generic name

Set, Administration, Intravascular

Catalog number

2C8537

Lot number

R14C12094

Product problems

  • Detachment of Device or Device Component

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE TUBING OF A CONTINU-FLO SOLUTION SET BECAME DETACHED FROM THE DRIP CHAMBER. THIS OCCURRED DURING PRIMING WITH HARTMANN¿S SOLUTION. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

(B)(4). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A FOLLOW-UP MDR WILL BE SUBMITTED.

Additional Manufacturer Narrative

(B)(4). A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.