FDA Adverse Event Malfunction Summary report: N

LIBERTY SELECT CYCLER ASSY(NON-VALUATED)

MDR report key: 17715831 · Received September 8, 2023

Report

Report Number
0002937457-2023-01398
Event Type
Malfunction
Date Received
September 8, 2023
Date of Event
August 31, 2023
Report Date
September 19, 2023
Manufacturer
CONCORD MANUFACTURING
Product Code
FKX
UDI-DI
00840861102068
PMA / PMN Number
K181108
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PLANT INVESTIGATION: NO PARTS WERE RETURNED TO THE MANUFACTURER FOR PHYSICAL EVALUATION. A RECORDS REVIEW WAS PERFORMED ON THE REPORTED SERIAL NUMBER. AN INVESTIGATION OF THE DEVICE MANUFACTURING RECORDS WAS CONDUCTED BY THE MANUFACTURER. THERE WERE NO NON-CONFORMANCES, OR ANY ASSOCIATED REWORK IDENTIFIED DURING THE MANUFACTURING PROCESS WHICH COULD BE RELATED TO THE REPORTED EVENT. IN ADDITION, THE DEVICE HISTORY RECORD (DHR) REVIEW CONFIRMED THE RESULTS OF THE IN-PROGRESS AND FINAL QUALITY CONTROL (QC) TESTING MET ALL REQUIREMENTS. THE INVESTIGATION INTO THE CAUSE OF THE REPORTED PROBLEM WAS NOT ABLE TO BE CONFIRMED. A DEFINITIVE CONCLUSION REGARDING THE COMPLAINT INCIDENT CANNOT BE REACHED WITHOUT A PHYSICAL EXAMINATION OF THE COMPLAINT DEVICE.

Additional Manufacturer Narrative · 0

THE PLANT INVESTIGATION IS IN PROCESS. A SUPPLEMENTAL MDR WILL BE SUBMITTED UPON COMPLETION OF THIS ACTIVITY.

Description of Event or Problem · 0

A LICENSED PRACTICAL NURSE (LPN) FROM A LONG-TERM CARE (LTC) FACILITY REPORTED TO FRESENIUS TECHNICAL SUPPORT (TS) THAT A FLUID LEAK OCCURRED DURING A PATIENT'S PERITONEAL DIALYSIS (PD) TREATMENT. PRIOR TO DISCOVERY OF THE FLUID LEAK, IT WAS REPORTED THAT AN ¿M31 AIR DETECTED IN CASSETTE¿ ALARM OCCURRED DURING DRAIN 3 OF 6. THE LPN CONTACTED TS FOR ASSISTANCE IN BYPASSING THE ALARM. AFTER FAILING TO MOVE PAST THE ALARM, THE LPN WAS ADVISED TO RESETUP THE CYCLER WITH NEW SUPPLIES. WHEN THE LPN OPENED THE CYCLER DOOR, THE FLUID LEAK WAS DISCOVERED. THE LPN CONFIRMED THERE WAS NO VISIBLE DAMAGE ON THE BACK OF THE CASSETTE. THE ORIGIN OF THE LEAK WAS NOT KNOWN. THE PATIENT DID NOT COMPLETE THEIR TREATMENT. THE LPN SAID THE STAFF AT THE FACILITY WERE NEVER TRAINED TO PERFORM MANUAL PD EXCHANGES AS AN ALTERNATIVE TO USING THE CYCLER. THE LPN WAS ADVISED BY TS TO LET THE CYCLER DRY OUT AND WAIT A FULL 24-HOURS BEFORE USING IT AGAIN. IN ORDER TO DO THIS, THE PATIENT HAD TO MISS TREATMENT THE FOLLOWING DAY AS WELL. HOWEVER, THE LPN CONFIRMED THE PATIENT DID NOT DEVELOP ANY SYMPTOMS, EXPERIENCE ANY ADVERSE EFFECTS, INJURIES, OR REQUIRE MEDICAL INTERVENTION AS A RESULT OF THE REPORTED EVENT. THE LPN CONFIRMED THE PATIENT¿S DOCTOR WAS NOTIFIED, AND PROPHYLACTIC ANTIBIOTICS WERE NOT PRESCRIBED. THE PATIENT WAS SAID TO BE CONTINUING PD THERAPY ON THE SAME CYCLER WITHOUT ANY FURTHER ISSUES.

Description of Event or Problem · 0

A LICENSED PRACTICAL NURSE (LPN) FROM A LONG-TERM CARE (LTC) FACILITY REPORTED TO FRESENIUS TECHNICAL SUPPORT (TS) THAT A FLUID LEAK OCCURRED DURING A PATIENT'S PERITONEAL DIALYSIS (PD) TREATMENT. PRIOR TO DISCOVERY OF THE FLUID LEAK, IT WAS REPORTED THAT AN ¿M31 AIR DETECTED IN CASSETTE¿ ALARM OCCURRED DURING DRAIN 3 OF 6. THE LPN CONTACTED TS FOR ASSISTANCE IN BYPASSING THE ALARM. AFTER FAILING TO MOVE PAST THE ALARM, THE LPN WAS ADVISED TO RESETUP THE CYCLER WITH NEW SUPPLIES. WHEN THE LPN OPENED THE CYCLER DOOR, THE FLUID LEAK WAS DISCOVERED. THE LPN CONFIRMED THERE WAS NO VISIBLE DAMAGE ON THE BACK OF THE CASSETTE. THE ORIGIN OF THE LEAK WAS NOT KNOWN. THE PATIENT DID NOT COMPLETE THEIR TREATMENT. THE LPN SAID THE STAFF AT THE FACILITY WERE NEVER TRAINED TO PERFORM MANUAL PD EXCHANGES AS AN ALTERNATIVE TO USING THE CYCLER. THE LPN WAS ADVISED BY TS TO LET THE CYCLER DRY OUT AND WAIT A FULL 24-HOURS BEFORE USING IT AGAIN. IN ORDER TO DO THIS, THE PATIENT HAD TO MISS TREATMENT THE FOLLOWING DAY AS WELL. HOWEVER, THE LPN CONFIRMED THE PATIENT DID NOT DEVELOP ANY SYMPTOMS, EXPERIENCE ANY ADVERSE EFFECTS, INJURIES, OR REQUIRE MEDICAL INTERVENTION AS A RESULT OF THE REPORTED EVENT. THE LPN CONFIRMED THE PATIENT¿S DOCTOR WAS NOTIFIED, AND PROPHYLACTIC ANTIBIOTICS WERE NOT PRESCRIBED. THE PATIENT WAS SAID TO BE CONTINUING PD THERAPY ON THE SAME CYCLER WITHOUT ANY FURTHER ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1113697 LIBERTY SELECT CYCLER ASSY(NON-VALUATED) SYSTEM, PERITONEAL, AUTOMATIC DELIVERY FKX CONCORD MANUFACTURING 00840861102068

Patients

Seq Age Sex Outcome Treatment
1 57 YR Female DELFLEX PD FLUID| DELFLEX PD FLUID| LIBERTY CYCLER SET| LIBERTY CYCLER SET