FDA Adverse Event Injury Summary report: N

ALARIS SYSTEM

MDR report key: 14187083 · Received April 22, 2022

Report

Report Number
2016493-2022-134588
Event Type
Injury
Date Received
April 22, 2022
Date of Event
March 31, 2022
Report Date
May 9, 2022
Manufacturer
CAREFUSION SD
Product Code
FRN
UDI-DI
10885403810015
PMA / PMN Number
K133532
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORTER ADDR: (B)(6). BD TECHNICAL SUPPORT TROUBLESHOOT WITH CUSTOMER OVER THE PHONE. A FOLLOW UP REPORT WILL BE SUBMITTED WITH INVESTIGATION RESULTS SHOULD THE DEVICE BE REPAIRED OR THE DEVICE/LOGS BE RECEIVED FOR EVALUATION. DEVICE WAS NOT RETURNED TO MANUFACTURING FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PUMP MODULE WAS PROGRAMED FOR A PROPOFOL INFUSION. CLINICIAN IS NOTED AT SOME POINT THE INFUSION BEGAN FREE FLOWING. THERE WAS PATIENT INVOLVEMENT AND PATIENT HARM.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PUMP MODULE WAS PROGRAMED FOR A PROPOFOL INFUSION. CLINICIAN IS NOTED AT SOME POINT THE INFUSION BEGAN FREE FLOWING. THERE WAS PATIENT INVOLVEMENT AND PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1272620 ALARIS SYSTEM PUMP, INFUSION FRN CAREFUSION SD 8100 10885403810015

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention 8015| 8100(2)