ICU MEDICAL DE MEXICO, S. DE R.L. DE C.V. SPINNING SPIROS¿ CLOSED MALE LUER, PURPLE CAP; SET, ADMINISTRATION, INTRAVASCULAR
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Catalog Number 011-CH2000S-PC |
Device Problem
Disconnection (1171)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/23/2024 |
Event Type
malfunction
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Manufacturer Narrative
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The device is not available for investigation.However, a photograph was provided by the customer and evaluation of the photo is pending.H6: component code description "internal part".
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Event Description
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The complaint event involved a spinning spiros¿ closed male luer, purple cap.Detachment was reported from an internal part of the device.The operator was involved but no consequence was reported.Docetaxel was reportedly involved in the complaint/event.Both the drug and the device were eliminated, and the dilution of the drug was redone.The event led to a delay in the delivery of unspecified therapies.The device did not present any anomalies before it was used.There were no problems or damages to the operator, nor to the patient.
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Manufacturer Narrative
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The complaint of separation on item 011-ch2000s-pc cannot be confirmed by investigation.Since no product samples, pictures, or videos were received for investigation.Without the return of the used sample, a comprehensive failure investigation cannot be performed and a probable cause cannot be determined.The device history record was reviewed and no non-conformities were found that would have led the reported condition on the complaint.
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Manufacturer Narrative
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The complaint investigated was updated on 8may2024 to include the following additional information: one photo was provided by customer illustrating (in a blue circle) the section where the detachment happened.However, based on review of the photo there were no visible detachments observed and no leaks were observed.The customer's complaint of separation could not be confirmed based on the photo review.
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