Model Number 24600-0007 |
Device Problem
Complete Blockage (1094)
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Patient Problems
Underdose (2542); Insufficient Information (4580)
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Event Date 12/02/2020 |
Event Type
malfunction
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Manufacturer Narrative
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A device evaluation is anticipated but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.(b)(4).
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Event Description
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It was reported that the as lvp 20d low sorb 3ss cv had flow issues when infusing taxol, leaving "140 cc" left in the bag.This complaint was created to capture the 1st of 2 related incidents.The following information was provided by the initial reporter: "this was an under infusion incident- once chemo (taxol) infusion was completed there was still 140 cc left over of chemo in the bag.(total volume 608cc)".
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Manufacturer Narrative
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The following fields were updated due to additional information: d.10.Device available for eval?: yes.D.10.Returned to manufacturer on: 1/14/2021.H.6.Investigation: one sample was returned from the customer.It was reported that 140 cc was left over in the bag.The set was examined for defects and abnormalities.No defects or abnormalities were observed.The set was primed with saline, and then infused with the pump dchu-0010 and pump module dchu-0014 at 125 ml / hr for 1 hour.The saline was flowed into an empty beaker.After 1 hour there was about 125 m/l of water.Fluids were running normally.The failure was unable to be replicated.A device history record review for model 24600-0007 lot number 20066468 was performed.There were no quality notifications issued for the failure mode reported by the customer during the production build of this set.A root cause was unable to be determined because the failure was unable to be replicated.A complaint history check was performed and this is the 1st related complaint reported with the defect/condition of flow issues - accuracy with lot #20066468 regarding item #24600-0007.H3 other text : see h.10.
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Event Description
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It was reported that the as lvp 20d low sorb 3ss cv had flow issues when infusing taxol, leaving "140 cc" left in the bag.This complaint was created to capture the 1st of 2 related incidents.The following information was provided by the initial reporter: "this was an under infusion incident- once chemo (taxol) infusion was completed there was still 140 cc left over of chemo in the bag.(total volume 608cc)".
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Search Alerts/Recalls
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