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Repeated attempts by adc to retrieve the product were unsuccessful and/or the customer discarded the product.The most probable root causes associated with this failure mode are disconnected, faulty or damaged components, software/data corruption, or misuse.However, mitigations are in place to reduce and prevent such issues.All vital manufacturing steps are validated, monitored, and verified during manufacturing to ensure the system is in conformance with the verified design.All vital functions are monitored by the system and, when necessary, function is suspended to safeguard against inaccurate results.Labeling is provided to instruct the user on the intended use of all vital parts of the system to minimize misuse.All complaints and complaint trends are investigated to determine if there is a product defect/ deficiency.If a product defect/ deficiency is identified, a risk evaluation is completed and compared to the risk management report, to ensure the risk profile has not changed.Additionally, as a part of abbott¿s post-market surveillance process, all risk evaluations with associated complaint data are reviewed annually to determine if the risk profiles have changed as compared to the product risk management reports.These monitoring processes ensure that all product risk profiles remain acceptable and have a positive benefit/ risk ratio.At this time, the product has not yet been returned for this complaint.An extended investigation has been performed for the reported complaint and there was no indication that the product did not meet specification.Dhrs (device history review) for the libre sensor and sensor kit was reviewed and the dhrs showed the libre sensor and sensor kit met specifications prior to release to distribution.If the product is returned, a physical investigation will be performed and a follow-up report will be submitted.All pertinent information available to abbott diabetes care has been submitted.
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A user facility reported three 3m¿ ranger¿ blood/fluid warming high flow sets leaked while using a rapid infuser.There was a code transfusion in the intensive care unit and two different sets of tubing separated at the spike and tube connection, resulting in two staff members getting blood on their face.This also occurred during a code transfusion in the emergency department earlier in the week, resulting in exposure to a staff member.No injuries or medical interventions were indicated due to the alleged malfunctions.
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Unused sets from the same lot were received for analysis.The reported issue was not confirmed, all samples passed specifications.The root cause of the alleged malfunction could not be determined.Possible causes include pulling on tubing instead of holding on to the spike, excessive twisting of spike, excessive force on tubing when removing spike from infusion bag, or over pressurization of set above 300 mmhg.A review of the batch record showed this lot met all specification for product release and no deviations were found that could have caused or contributed to the reported malfunction.Solventum will continue to monitor.
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