FDA Adverse Event Malfunction Summary report: N

MEDEX CLEAR CUFF PRESSURE INFUSOR

MDR report key: 23126845 · Received September 23, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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