inforMED
MalfunctionLIO

MAXIMUS BLOOD TRANSFER ASSEMBLY

Received Dec 3, 2014

Report MW5039402 · MDR key 4305569

Device

Generic name

Blood Transfer Device

Catalog number

MBC6008

Lot number

303140330

Product problems

  • Disconnection
  • Fluid/Blood Leak

Patient

Not reported

  • Blood Loss

Narrative

Description of Event or Problem

WHEN THE PHLEBOTOMIST WENT TO REMOVE THE BLOOD CULTURE BOTTLE FROM THE DEVICE, THE PLASTIC NEEDLE SHEATH CAME OFF AND STAYED IN THE BOTTLE, ALLOWING BLOOD TO FLOW FREELY FROM THE DEVICE. THE PHLEBOTOMIST HAD TO PHYSICALLY REMOVE THE SHEATH FROM THE BLOOD CULTURE BOTTLE CONTAMINATING THE BLOOD CULTURE.