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 *