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Model Number 21-7302-24 |
Device Problem
Inaccurate Delivery (2339)
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Patient Problem
Insufficient Information (4580)
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Event Date 03/30/2023 |
Event Type
Death
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Manufacturer Narrative
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The reporter provided that 'the estimated lot number of the cassette was either lot number 4235250 or lot number 4290192'.For both lots, a device history record (dhr) review was conducted which indicated all inspections were completed and no issues were noted during manufacture.No product was returned; therefore, no visual and functional tests were performed, the reported complaint could not be confirmed, and the root cause could not be determined.If the product is returned, the manufacturer will reopen this complaint for further investigation.
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Event Description
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It was reported that, after the use of the product, an under delivery of medical fluid was observed.The customer was informed that there was a discrepancy in the remaining volume (an under delivery), so the customer changed the cassette to another new one.At that time, the remaining volume displayed on the screen was 9.6ml; however, when the customer checked the cassette at the pharmacy, the actual remaining volume was 13.5ml.The physician commented that the cause of death was due to the patient's primary illness, and not due to the defect in the product.
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Search Alerts/Recalls
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