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This report is being filed to provide additional information in b.5, e.1, h.6 and h.11.Investigation: a review of the device history record (dhr) for this unit showed no irregularities during manufacturing that were relevant to this issue.The run data file (rdf) was analyzed for this event.During ac priming, it is normal to observe some air bubbles in the draw and return lines.During blood priming, air bubbles present in the draw line are redirected to the channel, while air bubbles in the return line are redirected to the return reservoir.However, review of the available image showed a greater amount of air than expected in the draw, return, and ac lines.Review of the available picture confirmed the presence of air in the draw, return and ac line.Analysis of the run data file did not identify a definitive root cause for the presence of air bubbles.Possible causes are, but are not limited to: the ac spike may not have been properly inserted into the ac bag.After spike insertion, the drip chamber may not have been primed correctly (e.G., not squeezed or not maintained in a vertical position), allowing air to mix with the ac solution and enter the tubing.This is consistent with on-site photos showing significant air in the ac tube below the ac tubing spike may have been damaged, allowing external air to enter the tubing.It cannot be ruled out that the ac pump header tubing may have been misloaded in the pump raceway.The customer submitted one photograph in lieu of the disposable set to aid investigation.The photo shows the the inlet coil and confirms the presence of air bubbles in the inlet and return lines, and one small bubble in the ac line.Investigation is in process.A follow-up report will be provided.
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