FDA Adverse Event Injury Summary report: N

HEPARIN I.V. FLUSH SYRINGE, 100 UNITS/ML

MDR report key: 1033401 · Received April 23, 2008

Report

Report Number
MW5006377
Event Type
Injury
Date Received
April 23, 2008
Date of Event
April 11, 2008
Report Date
April 23, 2008
Manufacturer
MEDEFIL
Product Code
NZW
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PATIENT RECEIVES ADVATE VIA HIS "IMPLANTOFIX" TWICE WEEKLY AND AS NEEDED FOR BLEEDING EPISODES. HEPARIN IS INSTILLED IN THE LINE FOLLOWING HIS INJECTIONS FOR LINE PATENCY. MEDEFIL HAS VOLUNTARILY RECALLED SOME LOTS OF THE HEPARIN PRODUCT THAT WERE DISPENSED TO PT. IN OUR RECALL LETTER, WE ARE INFORMING FAMILIES THAT THERE HAVE BEEN REPORTS OF LOW BLOOD PRESSURE, SHORTNESS OF BREATH, NAUSEA, VOMITING OR ABDOMINAL PAIN WITH HEPARIN PRODUCTS, HOWEVER, NO REPORTS WITH THE MEDEFIL BRAND PRODUCT. UPON INFORMING PT'S MOTHER, SHE STATED THAT THE PT COMPLAINED OF STOMACH PAIN TWO DAY IN 2008. HE REC'D ADVATE FOLLOWED BY HEPARIN THREE DAYS EARLIER. PER MOTHER, NO OTHER FAMILY MEMBERS HAVE HAD GI UPSET. MOTHER STATES, THAT SHE WILL CONTACT PHYSICIAN. DOSE OR AMOUNT: 3 ML, FREQUENCY: ONCE DAILY, ROUTE: IV. DATES OF USE: NINE DAYS IN 2008. DIAGNOSIS OR REASON FOR USE: CATHETER PATENCY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEPARIN I.V. FLUSH SYRINGE, 100 UNITS/ML NONE NZW MEDEFIL H108118

Patients

Seq Age Sex Outcome Treatment
1