inforMED
MalfunctionMJJ

RETROGUARD ARTERIAL SAFETY VALVE

Received Jul 12, 2019 · Event occurred Jun 19, 2019

Report 1649914-2019-00032 · MDR key 8787006

Device

Generic name

Cpb Check Valve

Manufacturer

Quest Medical, Inc

Model number

4007200

Catalog number

4007200

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

QUEST MEDICAL SELLS THIS DEVICE BULK NON-STERILE TO OEMS WHO CARRY FURTHER PROCESSING ON THE DEVICE. THE COMPLAINT SAMPLE WAS NOT RETURNED FOR INVESTIGATION AND NO LOT NUMBER WAS PROVIDED. DEVICE EVALUATION AND DHR REVIEW COULD THEREFORE NOT BE COMPLETED. LEAK TESTING IS CONDUCTED AS PART OF THE MANUFACTURING PROCESS FOR THIS DEVICE. ANY LEAKAGE FROM THE DEVICE WOULD HAVE BEEN IDENTIFIED DURING THE MANUFACTURING PROCESS. IN ADDITION, THE DEVICE UNDERGOES PRIMING BEFORE USE. THE ROOT CAUSE OF THE REPORTED COMPLAINT CONDITION IS UNKNOWN.

Description of Event or Problem

A REPORT WAS RECEIVED REGARDING AN ALLEGED INCIDENT RESULTING FROM THE VALVE. THE REPORT STATES THAT 30-45 MINUTES AFTER ATTACHING THE RG ON THE PUMP, THERE WAS A PUDDLE EVERYWHERE. THE ALLEGED ISSUE DID NOT RESULT IN ANY PATIENT COMPLICATIONS.