Model Number MS3500 |
Device Problem
Fluid/Blood Leak (1250)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 12/05/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The affected product has been received and the investigation is pending.A follow up report will be submitted once the failure investigation has been completed.
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Event Description
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It was reported that at the completion of a secondary infusion, the iv tubing set leaked from the secondary junction while connected to the secondary part of the maintenance line.The connection was tight and no crack was noted.There was no patient impact.
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Event Description
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It was reported that at the completion of ceftolozane/tazobactam1,000mg in 100ml ns secondary infusion, a leak was observed at the connection between secondary and primary sets.Potassium chloride 20meq was infusing through the primary set.It was noted that the connection between two sets was tight and no crack was seen.It was further confirmed during follow up, that there was no patient harm or impact as a result of this event.
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Event Description
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It was reported that at the completion of a secondary infusion, the iv tubing set leaked from the secondary junction while connected to the secondary part of the maintenance line.The connection was tight and no crack was noted.It was further confirmed during follow up, that there was no patient harm or impact as a result of this event.
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Manufacturer Narrative
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Additional information; section; b.5.(patient/event information clarified/detailed) the customer¿s report that the set leaked at the connection between the primary and secondary set was not confirmed.The sets in their as received configuration were visually inspected for kinks, incomplete bonding engagements, holes/tears in the tubing or damages to the components.Visual inspection of the set noted no damage or any anomalies.Functional testing resulted in fluid flowing freely through both the primary and secondary set with no signs of leaking at the connection or anywhere else throughout the sets.The sets in their as received configuration were loaded into a lab pump module for an infusion test.The primary and secondary infusions were programmed and both primary and secondary infusions completed with no leaks at the connection or anywhere else throughout the sets.Pressure testing resulted in no air entering the line anywhere on the set while the tubing was manipulated at each engagement.The smartsite female and secondary set¿s male luer ports were measured and were within iso standards.The root cause of the customer¿s report could not be identified.
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Search Alerts/Recalls
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