|
It was reported that during a supply change the ilet pump prompted for new infusion set insertion, but the infusion set connector would insert without being able to twist to lock, preventing attachment; after two unsuccessful connectors, a third connector attached successfully and drops were confirmed, indicating a fitting problem involving the connector/coupler.No clinical signs, symptoms, or conditions reported.Outcomes included no health consequences or impact.Investigation included communication with the user and analysis of the information provided by the user.Investigation of this case revealed a mechanical problem involving the connector/coupler consistent with a fitting problem.It was concluded, based on previously established findings for similar reports, that the cause was traced to component failure.
|