The user facility reported to terumo cardiovascular that prior to cardiopulmonary bypass, during prime, a crack was noticed on the tubing from the sampling manifold causing it to leak.No patient involvement.Product was changed out.Procedure was completed successfully.
|
This follow-up report is submitted to fda in accord with applicable regulations ¿ and as indicated by terumo cardiovascular systems in the initial report submitted to the fda on may 20, 2019.Upon further investigation of the reported event, the following information is new and/or changed: h6 (identification of evaluation codes (10, 11, 3331, 3259, 4307).Method code #1: 10 - testing of actual/suspected device, method code #2: 11 - testing of device from same lot/batch retained by manufacturer, method code #2: 3331- analysis of production records, results code: 3259 - improper physical structure, conclusions code: 4307 - cause traced to component failure.The returned sample was visually inspected, confirmed the cracked connector along the l-shaped connector.A retention sample was visually inspected and confirmed to not have any damages or cracks on the l-shaped connector.It is likely that the manifold connector was damaged by a shock force at some point during the handling of the product; however, when or how this shock force was applied was not able to be determined.During the investigations of similar events, replication testing found that this crack appears on the part when the l connector is over tightened on a port.All available information has been placed on file in quality management for appropriate tracking, trending, and follow-up.
|