inforMED
MalfunctionLDR

RATE-FLOW

Received Oct 16, 2018

Report 9611707-2018-00043 · MDR key 7969265

Device

Generic name

Intravascular Administration Set

Manufacturer

Leventon S.a.u.

Model number

US5300

Catalog number

L2590260-US5300

Lot number

UNK.

Product problems

  • Excess Flow or Over-Infusion
  • Excess Flow or Over-Infusion

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THIS EVENT HAS BEEN RECORDED IN LEVENTON S.A.U. AS A CUSTOMER COMPLAINT (B)(4). THE DEFECTIVE UNIT WAS NOT RETURNED TO THE MANUFACTURER, THUS THE DEVICE WAS NOT EVALUATED. IN ADDITION, THE LOT NUMBER IS UNKNOWN. THEREFORE, THE DEFECT REPORTED BY THE CUSTOMER COULD NOT BE REPRODUCED. ANYWAY, NOTHING JUSTIFIES THE OCCURRENCE OF SUCH AN INCIDENCE. THE POSITION OF 250 ML/H IS THE MAXIMUM VALUE OF THE SCALE OF THE FLOW REGULATOR. THEN, IF THE DIRECTIONS FOR SETTING UP THE PRODUCT ACCORDING TO THE IFU ARE FOLLOWED, IT IS NOT POSSIBLE TO GET THE DOUBLE OF FLOWRATE IN THIS POSITION.

Description of Event or Problem

AS REPORTED BY THE USER FACILITY: EVENT 3. THE FLOW REGULATOR WAS SET TO INFUSE AT 250 ML/HR; WHICH SHOULD HAVE INFUSED OVER 4 HOURS, BUT THE IV FLUID RAN THROUGH IN JUST UNDER 2 HOURS. NO HARM TO THE PATIENT.