IVAC TUBING - UNIVERSAL SET
Received Jul 12, 1993
Report 9377 · MDR key 9377
Device
Manufacturer
IvacPatient
UNK
Narrative
Description of Event or Problem
A PATIENT COMPLAINED OF AN IV TUBING LEAKING. UPON INSPECTION, IT WAS FOUND THAT THE TIBING EASILLY SEPARATED AT THE LOWER Y PORT. THE TUBING WAS REMOVED WITHOUT ANY KNOWN ADVERSE OUTCOME TO THE PATIENT.INVALID DATA - REGARDING SINGLE USE LABELING OF DEVICE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.INVALID DATA - REGARDING WHETHER EVENT PRESENTS IMMINENT HAZARD. INVALID DATA - WHETHER DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.