FDA Adverse Event
Malfunction
Summary report: N
HIGH VOLUME IRRIGATION FLUID WARMER SYSTEM
MDR report key: 29481
·
Received January 25, 1996
Report
- Report Number
- MW1008173
- Event Type
- Malfunction
- Date Received
- January 25, 1996
- Report Date
- January 18, 1996
- Manufacturer
- ALTON DEAN MEDICAL, INC.
- Product Code
- LHC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
FOUR PROBLEMS WITH THE FLUID WARMER SYSTEM HAVE BEEN ENCOUNTERED IN THE ENDOUROLOGY SUITE DURING UROLOGICAL SURGICAL PROCEDURES: 1. WHEN THE WARMING CASSETTE IS INSERTED INTO THE UNIT, FLOW DECREASES TO AN UNACCEPTABLE LEVEL. 2. STOPCOCKS HAVE INTERMITTENTLY FALLEN OFF OF THE TUBING SETS. THIS COULD BE A RESULT OF BACK PRESSURE WHICH DEVELOPS AS A RESULT OF PROBLEM #1. 3. THE LUER-LOCK FITTINGS BETWEEN THE STERILE TUBING SETS AND THE NONSTERILE TUBING ARE OCCASIONALLY TOO TIGHT AND CANNOT BE SEPARATED. 4. FITTINGS ON THE TUBING SETS ARE OCCASIONALLY INCOMPATIBLE: MALE AND MALE OR FEMALE AND FEMALE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | HIGH VOLUME IRRIGATION FLUID WARMER SYSTEM | FLUID WARMER SYSTEM | LHC | ALTON DEAN MEDICAL, INC. | FW537, IF400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |