inforMED
MalfunctionDPW

FLOW COUPLER

Received Mar 10, 2020 · Event occurred Feb 10, 2020

Report 1416980-2020-01304 · MDR key 9811291

Device

Generic name

Flowmeter, Blood, Cardiovascular

Model number

NA

Catalog number

515101300010

Lot number

SP19D12-1366274

Product problems

  • Disconnection
  • Disconnection

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WAS ADDED: THE DEVICE WAS RECEIVED FOR EVALUATION. VISUAL INSPECTION WAS PERFORMED WHICH OBSERVED BOTH RINGS SHOWED SIGNS OF USE (DRIED BLOOD, TISSUE). FURTHER INSPECTION OBSERVED THAT THE RETURNED RINGS WERE OUTSIDE OF THE JAW ASSEMBLY, FREE FLOATING INSIDE A SPECIMEN JAR. THE REPORTED CONDITION WAS VERIFIED. THE CAUSE OF THE RING DISLODGEMENT COULD NOT BE DETERMINED. A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THE FLOWCOUPLER DISLODGED. THE EVENT WAS FURTHER DESCRIBED AS "THE SURGEON WAS TRYING TO CLOSE THE FLOWCOUPLER, IT CAME OFF OF THE BLACK HOLDER¿. THE EVENT OCCURRED DURING AN UNSPECIFIED MEDICAL PROCEDURE. THERE WAS NO PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.