InjuryNHV

FALL MEDICAL Q POINT STERILIZING GRADE WATER FILTER

Received Nov 2, 2018 · Event occurred May 12, 2018

Report MW5081037 · MDR key 8037885

Device

Generic name

System Water Purification, General Medical Use

Manufacturer

Pall Corporation

Model number

QJ212A

Catalog number

QJ212A

Lot number

18-3022

Product problems

Increase in Pressure

Patient

34 YR

No Known Impact Or Consequence To Patient
No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

POINT OF USE WATER FILTER USED IN PT ROOM TO CONTROL LEGIONELLA PNEUMOPHILA APPEARED TO HAVE FAILED. MFR BELIEVES DUE TO HIGH WATER PRESSURE EVENT. MFR INSPECTION (B)(6) 2018.