DELTEC GRIPPER PLUS NEEDLES
Report
- Report Number
- 3012307300-2026-01095
- Event Type
- Malfunction
- Date Received
- February 10, 2026
- Date of Event
- January 20, 2026
- Report Date
- April 27, 2026
- Manufacturer
- ICU MEDICAL MANUFACTURING S.A. DE C.V.
- Product Code
- FPA
- UDI-DI
- 10610586027697
- PMA / PMN Number
- K021999
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
NO INFORMATION HAS BEEN PROVIDED TO DATE. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILLED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.
PHOTOS WERE RECEIVED FOR EVALUATION FOR THE COMPLAINT THAT A DROP-BY-DROP LEAKAGE AT THE LEVEL OF THE GRIPPER VALVE. THE PHOTOS RECEIVED THE DEFECT WAS NOT POSSIBLE TO CONFIRM, SAMPLES AND LOT NUMBER WAS NOT RECEIVED, THEREFORE THE CORRESPONDING TEST COULD NOT BE POSSIBLE TO CONFIRM, IN CASE TO RECEIVE THE LOT AND THE SAMPLE, THE COMPLAINT WILL BE RE-OPEN FOR PERFORM THE CORRESPONDING EVALUATION.
IT WAS STATED THAT THERE WAS AN EQUIPMENT MALFUNCTION ENCOUNTERED IN THE ONCOLOGY DAY HOSPITAL (HDJ) DURING A CHEMOTHERAPY SESSION. THE NURSE NOTICED A DROP-BY-DROP LEAKAGE AT THE LEVEL OF THE GRIPPER VALVE. FURTHER ON, IT WAS NOTICED THAT THE CHEMOTHERAPY SOLUTION LEAKED ONTO THE PATIENT¿S CLOTHING. THE INFUSION WAS STOPPED AND THE PATIENT¿S SKIN WAS DECONTAMINATED. AT THAT TIME, NO SKIN REACTION HAS BEEN OBSERVED. THE PATIENT WAS SEEN AGAIN, THE NEXT DAY FOR SKIN DECONTAMINATION. THERE WAS PATIENT INVOLVEMENT AND NO CLINICAL CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1548 | DELTEC GRIPPER PLUS NEEDLES | SET, ADMINISTRATION, INTRAVASCULAR | FPA | ICU MEDICAL MANUFACTURING S.A. DE C.V. | UNKNOWN | 10610586027697 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |