FDA Adverse Event Malfunction Summary report: N

MEDEX TRANSTAR KITS

MDR report key: 22026524 · Received May 15, 2025

Report

Report Number
1526863-2025-00053
Event Type
Malfunction
Date Received
May 15, 2025
Date of Event
December 29, 2024
Report Date
May 15, 2025
Manufacturer
SMITHS HEALTHCARE MANUFACTURING S.A. DE C.V.
Product Code
DPT
UDI-DI
10351688503992
PMA / PMN Number
K942377
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS FILE WAS ORIGINALLY INCORRECTLY FILED UNDER REGISTRATION NUMBER MRN 9616567-2025-00016-00. THE DATE OF THAT SUBMISSION WAS 04-FEB-2025. H3: FOUR USED SAMPLES WERE RECEIVED FOR EVALUATION. FOR THE FIRST SAMPLE, WHEN THE END OF THE TUBING WAS EXAMINED, INSUFFICIENT SOLVENT COVERAGE WAS OBSERVED. NO ANOMALIES WERE OBSERVED ON THE OTHER THREE SAMPLES. DURING THE FUNCTIONAL TESTING, ON THE FIRST SAMPLE, LEAKAGE WAS OBSERVED DURING TESTING. FOR THE OTHER THREE SAMPLES, WHEN THE SETS WERE PRIMED AND PRESSURE LEAK TESTED, NO LEAKS WERE OBSERVED. THE CUSTOMER REPORTED COMPLAINT WAS ABLE TO BE CONFIRMED BASED ON THE TEST RESULTS. NO DISCREPANCIES OR ANOMALIES WERE OBSERVED DURING THE MANUFACTURING OF THIS LOT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE HAD FLUID LEAKAGE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346013 MEDEX TRANSTAR KITS PROBE, BLOOD-FLOW, EXTRAVASCULAR DPT SMITHS HEALTHCARE MANUFACTURING S.A. DE C.V. 4468877 10351688503992

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown