inforMED
MalfunctionFPK

SMITHS MEDICAL LEVEL 1 HOTLINE DISPOSABLE

Received Jan 28, 2020 · Event occurred Dec 19, 2019

Report 3012307300-2020-00815 · MDR key 9639555

Device

Generic name

Tubing, Fluid Delivery

Lot number

3772162

Product problems

  • Accessory Incompatible
  • Accessory Incompatible

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

OTHER, OTHER TEXT: DEVICE EVALUATION: PICTURE OF LEVEL 1 HOTLINE LOW FLOW SYSTEM WAS RETURNED FOR ANALYSIS. INVESTIGATION PERFORMED AND NO DISCREPANCIES COULD BE OBSERVED IN THE PICTURES. THE CUSTOMER REPORTED PROBLEM COULD NOT BE CONFIRMED. NO ROOT CAUSE HAS TO BE CONFIRMED SINCE THE COMPLAINT WAS NOT CONFIRMED. NO CORRECTIVE ACTIONS ARE REQUIRED SINCE THE COMPLAINT WAS NOT CONFIRMED.

Description of Event or Problem

INFORMATION WAS RECEIVED THAT A SMITHS MEDICAL LEVEL 1 HOTLINE LOW FLOW SYSTEM TUBING SET NOT BEING ACCEPTED BY FLUID WARMER. INCIDENT WAS REPORTED TO HAVE OCCURRED WHILE IN USE WITH A PATIENT, AND THAT NO INJURY OCCURRED.