Model Number MX9128 |
Device Problem
Component Misassembled (4004)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/12/2022 |
Event Type
malfunction
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Manufacturer Narrative
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A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
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Event Description
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It was reported that the bd maxguard administration set with needleless y-site(s) was built upside down.The following information was provided by the initial reporter: this set was built upside down.
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Manufacturer Narrative
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H6: investigation summary: one photo was provided for quality investigation.The customer complaint for misassembly was verified by visual inspection.Evaluation of the infusion set in the photo, shows that the smartsite was installed backwards.A device history record review for model mx9128 lot number 22029810 was performed.The search showed that a total of (b)(4) units in 1 lot number was built on 22feb2022.There were no quality notifications issued for the failure mode reported by the customer during the production build of this set.The root cause for the failure seen in this complaint is an error at the manufacturing facility installing the component incorrectly into the assembly.Further investigation at the manufacturing facility identified the root cause a failure to use an assembly fixture during the construction of the infusion set.
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Event Description
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It was reported that the bd maxguard administration set with needleless y-site(s) was built upside down.The following information was provided by the initial reporter: this set was built upside down.
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Search Alerts/Recalls
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