inforMED
MalfunctionDWD

RLV-2100 VACUUM RELIEF VALVE

Received Dec 10, 2019

Report 1649914-2019-00069 · MDR key 9447300

Device

Generic name

Cardiopulmonary Suction Control Device

Manufacturer

Quest Medical, Inc

Model number

4103202

Catalog number

4103202

Lot number

056185/056294/056390

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

THIS COMPLAINT IS SIMILAR TO RECENT COMPLAINTS RECENTLY RECEIVED ON THIS PART NUMBER. THE DEVICE IS SOLD OUS TO OEM MANUFACTURERS. THE ROOT CAUSE OF THE ISSUE IS OPERATOR ERROR DURING ASSEMBLY OF THE UMBRELLA VALVE. QUEST HAS UPDATED ITS STANDARD OF WORK AND HAS ISSUED A QUALITY ALERT TO TRAIN OPERATORS AND PROVIDE THEM WITH BETTER VISIBILITY OF DEFECTS ASSOCIATED WITH THE UMBRELLA VALVE. IN ADDITION, THE MANUFACTURING LEAK TESTER WILL BE UPDATED TO ENSURE PARTS WITH THIS TYPE OF DEFECT ARE REJECTED.

Description of Event or Problem

THE REPORT RECEIVED STATES THAT THE DEVICE LEAKED DURING A PROCEDURE.