BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DUALCAP®

    MDR report key: 22122345 · Received June 2, 2025

    Report

    Report Number
    22122345
    Event Type
    Malfunction
    Date Received
    June 2, 2025
    Date of Event
    May 14, 2025
    Report Date
    May 16, 2025
    Manufacturer
    MERIT MEDICAL SYSTEMS, INC.
    Product Code
    QBP
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 0

    NO HARM TO PATIENT. IT WAS DISCOVERED BY NURSING THAT THE CHG CENTRAL LINE CAPS WERE MISSING A SPONGE PIECE INSIDE OF THE CAP. WHEN THE CAPS WERE OPEN ONLY LIQUID CAME OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    667270 DUALCAP® CAP, DEVICE DISINFECTANT QBP MERIT MEDICAL SYSTEMS, INC. A011303

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown