Multi-Sampling Connector 4R5129Recalls & reported problems

Summary

The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 04086000101240), received between Nov 8, 2024 and Nov 8, 2024 — classified as 1 injury, 1 malfunction.

The most frequently reported specific device problem is “Break” (2 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Most reported problems

Recent adverse event reports

The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.

• InjuryNov 8, 2024Break; Break

  IT WAS REPORTED THE LUER ADAPTORS HAVE BROKE IN THE CVC HUBS WHEN THEY ARE ATTEMPTING TO GET PRE LABS. HAVE HAD 3 PATIENT SAFETY EVENTS OF THE ADAPTER BREAKING OF INTO THE CVC HUB AND HAVING TO BE SENT TO ER TO HAVE CVC REPAIR. MULTIPLE LOTS REPORTED (22J11B (MANUFACTURED: 10/11/2022, EXPIRES: 09/30/2027), 22J14B (MANUFACTURED 10/14/2022, EXPIRES: 09/30/2027). NOTE: MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL DETAILS ABOUT THE INCIDENT AND PATIENT STATUS, WITH NO RESPONSE.

  Patient problems: Foreign Body In Patient; Insufficient Information

  MAUDE report 20637837 ↗
• MalfunctionNov 8, 2024Break; Break

  IT WAS REPORTED THE LUER ADAPTORS HAVE BROKE IN THE CVC HUBS WHEN THEY ARE ATTEMPTING TO GET PRE LABS. HAVE HAD 3 PATIENT SAFETY EVENTS OF THE ADAPTER BREAKING OF INTO THE CVC HUB AND HAVING TO BE SENT TO ER TO HAVE CVC REPAIR. MULTIPLE LOTS REPORTED (22J11B (MANUFACTURED: 10/11/2022, EXPIRES: 09/30/2027), 22J14B (MANUFACTURED 10/14/2022, EXPIRES: 09/30/2027)). NOTE: MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL DETAILS ABOUT THE INCIDENT AND PATIENT STATUS, WITH NO RESPONSE.

  Patient problems: Foreign Body In Patient; Insufficient Information

  MAUDE report 20637725 ↗