User facility personnel stated that the employee did not put the luer lock on tight.The reported event may be attributed to the employee not properly putting the luer lock on tight subsequently causing the tubing to disconnect.The instructions for use states, "connect luer lock fitting of pump tube to detergent out port.Rotate pump head lever to the left to open pump head.Align flow arrow on pump tube with flow arrow on pump head." the steris account manager in-serviced user facility personnel on the proper use and operating for the scope buddy plus tubing and the importance of ensuring the luer lock is properly connected.The scope buddy plus tubing subject of the reported event was discarded by user facility personnel and is not available for return/evaluation.Without the return of the device, a root cause cannot be determined.User facility personnel were also not able to provide a lot number for the prolystica subject of the reported event.A follow-up report will be submitted should additional information become available.No additional issues have been reported.
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