FDA Adverse Event
Malfunction
Summary report: N
SPINNING SPIROS® CLOSED MALE LUER, RED CAP
MDR report key: 23471766
·
Received November 4, 2025
Report
- Report Number
- 9617594-2025-02124
- Event Type
- Malfunction
- Date Received
- November 4, 2025
- Date of Event
- October 14, 2025
- Report Date
- December 1, 2025
- Manufacturer
- ICU MEDICAL DE MEXICO, S. DE R.L. DE C.V.
- Product Code
- FPA
- UDI-DI
- 00840619026615
- PMA / PMN Number
- K082806
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE COMPLAINT COULD NOT BE CONFIRMED BY INVESTIGATION. NO PRODUCT SAMPLES, PICTURES, OR VIDEOS WERE RECEIVED FOR INVESTIGATION. WITHOUT THE RETURN OF THE USED SAMPLE A COMPREHENSIVE FAILURE INVESTIGATION CANNOT BE PERFORMED AND A CAUSE CANNOT BE DETERMINED.
Additional Manufacturer Narrative · 0
K082806.
Description of Event or Problem · 0
AN EMAIL WAS RECEIVED REGARDING A SPINNING SPIROS® CLOSED MALE LUER, RED CAP, ALLEGING A LEAK DURING PATIENT USE. IT WAS STATED IN THE REPORT THAT THE PRODUCT LEAKED DURING CHEMO INFUSION. THERE WAS PATIENT INVOLVEMENT, NO PATIENT HARM REPORTED, BUT A DELAY IN THERAPY; THEY HAD TO REMAKE THE CHEMO AND THE ADMINISTRATION SET.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2478469 | SPINNING SPIROS® CLOSED MALE LUER, RED CAP | SET, ADMINISTRATION, INTRAVASCULAR | FPA | ICU MEDICAL DE MEXICO, S. DE R.L. DE C.V. | UNKNOWN | 00840619026615 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | UNSPECIFIED CHEMO, UNK MFR |