ERIKA DE REYNOSA, S.A. DE C.V. CUSTOM COMBI SET; SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE
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Catalog Number 03-2722-9 |
Device Problems
Fluid/Blood Leak (1250); Material Puncture/Hole (1504)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 05/31/2017 |
Event Type
malfunction
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Manufacturer Narrative
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The reported complaint was not confirmed as the complaint device was not available for manufacturer evaluation.As such, a definitive conclusion regarding the complaint incident cannot be reached without a physical examination of the complaint device.A records review was performed on the reported lot.An investigation of the device manufacturing records was conducted by the manufacturer.There were no deviations or non-conformances identified during the manufacturing process which could be associated with the reported event.In addition, the batch record review confirmed the labeling, material, and process controls were within specification.The lot passed all release criteria.Review of the batch production record (bpr) did not reveal a probable cause for the customer complaint.
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Event Description
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The clinical manager at the user facility reported that a combi set bloodline had a small puncture in the tubing by the blood pump, where the heparin line connector is, causing blood to spray out during hemodialysis (hd) treatment.Follow-up indicated that no defects or malfunctions were observed during prime and set-up.Blood was observed coming from the hole.Treatment was stopped and the patient was transferred to another machine with a new set-up.The patient's blood was not returned, estimated blood loss (ebl) is 200 milliliters (ml).The patient was able to complete treatment without any adverse reaction, injury, or harm.There was no medical intervention required.The bloodlines are not available to be returned to the manufacturer for evaluation as it was discarded by the user facility.
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Search Alerts/Recalls
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