FDA Adverse Event
Malfunction
Summary report: N
MEDLINE-MICROTEK
MDR report key: 23218762
·
Received October 5, 2025
Report
- Report Number
- 3012811961-2025-00009
- Event Type
- Malfunction
- Date Received
- October 5, 2025
- Date of Event
- September 8, 2025
- Report Date
- October 5, 2025
- Manufacturer
- MICROTEK MEDICAL LLC
- Product Code
- PUI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
IT WAS REPORTED, THAT WATER WAS FOUND IN THE BOTTOM OF A SALINE FLUID WARMER, INDICATING THE PRODUCT HAD A HOLE. IT IS UNCLEAR WHEN THE HOLE DEVELOPED. THE PHYSICIAN WAS IMMEDIATELY INFORMED AND ADVISED THE TEAM THAT THE PATIENT WOULD RECEIVE ADDITIONAL ANTIBIOTICS POSTOPERATIVELY IN THE ICU. NO PATIENT INJURIES, INFECTIONS, OR COMPLICATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1650853 | MEDLINE-MICROTEK | WARMER DRAPE, FOR USE WITH ORS-2000 SERIES FLUID WARMING SYSTEM | PUI | MICROTEK MEDICAL LLC | ORS-300 | 3135LA1400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |