FDA Adverse Event Malfunction Summary report: N

3M¿ RANGER¿ BLOOD/FLUID WARMING HIGH FLOW

MDR report key: 17916049 · Received October 11, 2023

Report

Report Number
2110898-2023-00086
Event Type
Malfunction
Date Received
October 11, 2023
Report Date
June 6, 2024
Manufacturer
3M COMPANY
Product Code
BSB
PMA / PMN Number
K973741
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO CORRECT SECTION D3 MANUFACTURER NAME, CITY AND STATE, FROM 3M HEALTH CARE TO 3M COMPANY.

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO CORRECT SECTION D4 MODEL # FROM BLANK TO 24355, AND SECTION D4 UNIQUE IDENTIFIER (UDI) # FROM (B)(4) TO NI.

Additional Manufacturer Narrative · 0

H10: THE DEVICE HAS NOT BEEN RETURNED TO 3M FOR ANALYSIS. 3M IS UNABLE TO VERIFY THE LEAK, IDENTIFY EXACT LOCATION AND ROOT CAUSE WITHOUT THE SAMPLE AND LEAK LOCATION. POSSIBLE CAUSES OF LEAKS INCLUDE OVER-PRESSURIZATION ABOVE 300MMHG, INSERTION OR REMOVAL OF PRESSURIZED HEAT EXCHANGER FROM HEATING UNIT, AND HEAT EXCHANGER NOT FULLY INSERTED INTO THE HEATING UNIT. 3M WILL CONTINUE TO MONITOR.

Description of Event or Problem · 0

A HOSPITAL ALLEGED THE TUBING OF 3M¿ RANGER¿ BLOOD/FLUID WARMING HIGH FLOW SET, 24355 LEAKED IN THREE DIFFERENT AREAS WHILE PRIMING THE TUBING WITH NORMAL SALINE FOR A BLOOD TRANSFUSION. NO PATIENT OR STAFF INJURY WAS ALLEGED AND NO MEDICAL INTERVENTIONS WERE REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2238362 3M¿ RANGER¿ BLOOD/FLUID WARMING HIGH FLOW BAIR HUGGER BLOOD/FLUID WARMER BSB 3M COMPANY 24355

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown