MEDEX CLEAR CUFF PRESSURE INFUSOR
Report
- Report Number
- 1526863-2025-00112
- Event Type
- Malfunction
- Date Received
- September 23, 2025
- Date of Event
- August 21, 2025
- Report Date
- November 4, 2025
- Manufacturer
- SMITHS MEDICAL ASD, INC.
- Product Code
- KDZ
- PMA / PMN Number
- UNKNOWN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
A DEVICE HISTORY RECORD (DHR) REVIEW WAS CONDUCTED WHICH INDICATED ALL INSPECTIONS WERE COMPLETED AND ADDITIONAL COMPLAINTS HAVE BEEN RECEIVED FOR REPORTED LOT# ABOUT THE REPORTED PROBLEM DURING LOT HISTORY REVIEW. THE SAMPLE WAS DISCARDED BY THE HOSPITAL AS NOTED IN THE COMPLAINT PRODUCT RETURN SECTION. NO PRODUCT WAS RETURNED; THEREFORE, NO VISUAL AND FUNCTIONAL TESTS WERE PERFORMED, THE REPORTED COMPLAINT COULD NOT BE CONFIRMED, AND THE ROOT CAUSE COULD NOT BE DETERMINED. IF THE PRODUCT IS RETURNED, THE MANUFACTURER WILL REOPEN THIS COMPLAINT FOR FURTHER INVESTIGATION.
H3: DEVICE NOT RECEIVED BY MANUFACTURER.¿ A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.
IT WAS STATED IN THE REPORT THAT WHILE MONITORING A PATIENT'S INVASIVE BLOOD PRESSURE, A NURSE DISCOVERED A LEAK IN THE PRESSURE BAG, LEADING TO BACKFLOW OF BLOOD THROUGH THE PATIENT'S ARTERIAL CATHETER. THE NURSE IMMEDIATELY REPLACED THE PRESSURE BAG AND CONTINUED INVASIVE BLOOD PRESSURE MONITORING. THERE WAS PATIENT INVOLVEMENT, WITH NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 201404 | MEDEX CLEAR CUFF PRESSURE INFUSOR | INFUSOR, PRESSURE, FOR I.V. BAGS | KDZ | SMITHS MEDICAL ASD, INC. | 4425268 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |