inforMED
MalfunctionFII

SYSTEM 1000 SPDS

Received Nov 10, 2006 · Event occurred Oct 1, 2006

Report 1423500-2006-01206 · MDR key 788136

Device

Generic name

System 1000

Manufacturer

Largo

Model number

NA

Catalog number

NA

Lot number

NA

Product problems

  • Kinked

Patient

UNKNOWN

  • No Patient Involvement

Narrative

Description of Event or Problem

ON OCTOBER 11, 2006, A CUSTOMER (RN) REPORTED TO BAXTER CLINICAL CONSULTANT, A KINK IN THE BLOOD TUBING, DURING SET UP OF THE MACHINE, ACCORDING TO THE NEW DIRECTIVE, NOT TO USE THE UPPER CLIP ON THE MACHINE. IT WAS NOTED A 45 DEGREE ANGLE OF THE TUBING AS IT EXITED THE BLOOD PUMP SECTOR. THE PROBLEM WAS NOTED PRIOR TO USE. THERE WAS NO REPORTED PT / USER INJURY OR MEDICAL INTERVENTION.

Additional Manufacturer Narrative

BAXTER IS MONITORING ISSUES LIKE THIS. AN INVESTIGATION STILL PENDING. IF SIGNIFICANT INFO IS DISCOVERED A FOLLOW UP REPORT WILL BE SUBMITTED.