inforMED
InjuryBTC

WALKMED

Received Aug 18, 2017 · Event occurred Jul 25, 2017

Report 1723533-2017-00015 · MDR key 6805273

Device

Generic name

Tube Set

Manufacturer

Walkmed Infusion

Model number

204821

Catalog number

IPR-150

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Not reported

  • No Consequences Or Impact To Patient
  • Chemical Exposure
  • No Consequences Or Impact To Patient
  • Chemical Exposure

Narrative

Additional Manufacturer Narrative

TWO TUBE SET LEAKS AND A POTENTIAL BAG LEAK WERE NOTED BY (B)(6) (1723533-2017-0013, 1723533-2017-0014, AND 1723533-2017-0015).

Description of Event or Problem

(B)(6) SUBMITTED A COMPLAINT FOR A TUBESET WITH A BROKEN LUER LOCK. UPON RECEIPT OF THE RETURNED DEVICES, THE LUER LOCKS WERE FOUND TO BE CRACKED, LIKELY DUE TO CLEANING WITH ALCOHOL WHICH DEGRADES THE MATERIAL AND IS ADVISED AGAINST. THE BAG BEING USED AT THE TIME DID NOT HAVE ANY LEAKS. INCIDENT OCCURRED IN THE PHARMACY CLEANING ROOM. INCIDENT OCCURED DURING CLEANING, NOT DURING TREATMENT. CONFIRMED NO EXPOSURE TO DRUG, THERE WAS NO REPORT OF HARM OR INJURY.