FDA Adverse Event Malfunction Summary report: N

CLEARLINK/CONTINU-FLO/DUO-VENT

MDR report key: 22196553 · Received June 12, 2025

Report

Report Number
1416980-2025-03324
Event Type
Malfunction
Date Received
June 12, 2025
Report Date
July 14, 2025
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FPA
UDI-DI
00085412071107
PMA / PMN Number
K203609
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D4, H4, H6 (UPDATE CODES), H11. D4 LOT #: THE CUSTOMER REPORTED THE LOT NUMBERS IN STOCK THAT MAY CONTAIN THE SUSPECT LOT IN THIS EVENT: R24L26079, R25C08130, R25C08123, R25B24093, R25C08154, R24K18147, R24L06048, R24319208 (NOT VALID), R24L18079, AND R24G08055. D4 AND H4 INFORMATION FOR THE FOLLOWING SUSPECT LOTS: R24L26079: THIS LOT WAS MANUFACTURED 12/27/2024. EXPIRATION DATE 12/27/2026. R25C08130: THIS LOT WAS MANUFACTURED 03/10/2025. EXPIRATION DATE 03/09/2027. R25C08123: THIS LOT WAS MANUFACTURED 03/09/2025. EXPIRATION DATE 03/09/2027. R25B24093: THIS LOT WAS MANUFACTURED 02/25/2025. EXPIRATION DATE 02/24/2027. R25C08154: THIS LOT WAS MANUFACTURED 3/10/2025. EXPIRATION DATE 03/09/2027. R24K18147: THIS LOT WAS MANUFACTURED 11/19/2024. EXPIRATION DATE 11/19/2026. R24L06048: THIS LOT WAS MANUFACTURED 12/07/2024. EXPIRATION DATE 12/06/2026. R24319208 (NOT VALID). R24L18079:THIS LOT WAS MANUFACTURED 12/19/2024. EXPIRATION DATE 12/18/2026. R24G08055: THIS LOT WAS MANUFACTURED 07/09/2024. EXPIRATION DATE 07/09/2026. H11: A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THESE SUSPECT LOTS (EXCEPT SUSPECT LOT R25B24093). SUSPECT LOT R25B24093 FAILED A PRESSURE TEST FOR ONE (1) UNIT; THE UNIT WAS REMOVED AND THE REMAINING UNITS FOR RELEASE MET SPECIFICATIONS. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CLEARLINK CONTINU-FLO SOLUTION SET WAS LEAKING FROM AN UNSPECIFIED LOCATION. IT WAS NOT REPORTED IF A PATIENT WAS CONNECTED AT THE TIME OF THIS EVENT. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1805670 CLEARLINK/CONTINU-FLO/DUO-VENT SET, ADMINISTRATION, INTRAVASCULAR FPA BAXTER HEALTHCARE CORPORATION 2C8541 NI 00085412071107

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown