FDA Adverse Event Injury Summary report: N

HEPARIN LOCK-FLUSH 100 UNITS/ML

MDR report key: 1100663 · Received August 6, 2008

Report

Report Number
MW5007922
Event Type
Injury
Date Received
August 6, 2008
Date of Event
April 30, 2008
Report Date
August 6, 2008
Manufacturer
HOSPIRA
Product Code
NZW
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
CO, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

A FEMALE PT HAD A PERIPHERALLY-INSERTED CENTRAL VENOUS CATHETER INSERTED IN INTERVENTIONAL RADIOLOGY WITHOUT PROBLEMS. THE EVENT WAS CHARACTERIZED BY CYANOSIS, GASPING, UNRESPONSIVENESS -APPROX 5 MINUTES-, AND A GRAND MAL SEIZURE AND OCCURRED AFTER THE NEW PICC WAS FLUSHED WITH HEPARIN -HOSPIRA 100 UNITS/ML 10 ML VIAL-. NO HYPOTENSION WAS DOCUMENTED. THE NURSE REPORTS THAT THE HOSPIRA 100 UNITS/ML 10 ML VIAL -LOT 56-463--DK- WAS USED IN THIS CASE AND THAT THE REACTION WAS SIMILAR TO TWO CASES PREVIOUSLY REPORTED. THIS BRAND AND LOT OF HEPARIN WAS REPORTED TO THE MFR AND FDA IN RESPONSE TO THE TWO PREVIOUS CASES AND HAS NOT BEEN REPORTED TO BE CONTAMINATED. TIMELINE: 1300: PATIENT VERBALIZES SHE DOESN'T FEEL WELL AND STATES SHE IS "SEEING STARS" WITHIN A MINUTE AFTER HEPLOCK INJECTION. PATIENT HAD A SEIZURE EPISODE LASTING ABOUT 30 SEC. PATIENT'S FACE TURNED PURPLE AND SHE HAD GENERALIZED CLONIC CONTRACTIONS AND DID NOT RESPOND TO VERBAL QUESTIONS. 1305: PATIENT WAS NOW AWAKE AND CRYING. BP 148/106, HR 120, SAO2 76-88% ON ROOM AIR. O2 STARTED 1310: PATIENT MORE COHERENT NOW. BP 130/55; HR 108, SAO2 97% ON ROOM AIR. 1315: PATIENT STABLE, TRANSFERRED BACK TO FLOOR, BP 130/76, HR 104, SAO2 94% ON ROOM AIR. DOSE OR AMOUNT: UNKNOWN VOLUME TO FLUSH, FREQUENCY: ONCE, ROUTE: IV. DATES OF USE: 2008. DIAGNOSIS OR REASON FOR USE: FLUSH PICC LINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEPARIN LOCK-FLUSH 100 UNITS/ML NONE NZW HOSPIRA 56-463-DK

Patients

Seq Age Sex Outcome Treatment
1 30 YR