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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION CLEARLINK/CONTINU-FLO; SET, ADMINISTRATION, INTRAVASCULAR

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BAXTER HEALTHCARE CORPORATION CLEARLINK/CONTINU-FLO; SET, ADMINISTRATION, INTRAVASCULAR Back to Search Results
Model Number 2C8537
Medical Device Problem Codes Fluid/Blood Leak (1250); Detachment of Device or Device Component (2907)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Should additional relevant information become available, a supplemental report will be submitted.
 
Event or Problem Description
It was reported that the tubing of a clearlink system continu-flo solution set disconnected from ¿the middle luer-activated surface port¿ (clearlink).The event occurred after the routine priming of an iv solution with normal saline while attempting to close the regulating clamp.There was no patient involvement.No additional information is available.
 
Additional Manufacturer Narrative
Additional information: h4, h6 (update codes) and h11.H4: the lot was manufactured between november 20, 2024 and november 21, 2024.H11: the actual device was not available; however, a photograph of the sample was provided for evaluation.Visual inspection of the photograph showed that the tubing was separated from the y site clearlink in the upstream part.The reported condition was verified.The cause of the condition could not be determined.A batch review was conducted and there were no deviations found related to this reported condition during the manufacture of this lot.Should additional relevant information become available, a supplemental report will be submitted.
 
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Brand Name
CLEARLINK/CONTINU-FLO
Common Device Name
SET, ADMINISTRATION, INTRAVASCULAR
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
deerfield IL
Manufacturer (Section G)
BAXTER HEALTHCARE - CARTAGO
parque industrial de cartago
apartado no. 1-7052
cartago
CS  
Manufacturer Contact
25212 w. illinois route 120
round lake, IL 60073
2242705355
MDR Report Key25320165
Report Number1416980-2026-01789
Device Sequence Number5368264
Product Code FPA
UDI-Device Identifier00085412048970
UDI-Public(01)00085412048970(17)280224(10)R26B23079
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K203609
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 07/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number2C8537
Device Catalogue Number2C8537
Device Lot NumberR26B23079
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/30/2026
Supplement Date Received by Manufacturer06/08/2026
Initial Report FDA Received Date05/28/2026
Supplement Report FDA Received Date07/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/24/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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