FDA Adverse Event Injury Summary report: N

CAREFUSION PC UNIT

MDR report key: 14470607 · Received May 20, 2022

Report

Report Number
MW5109817
Event Type
Injury
Date Received
May 20, 2022
Date of Event
March 14, 2020
Report Date
March 24, 2020
Manufacturer
CAREFUSION 303, INC.
Product Code
FRN
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
TN, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

A 50 ML IV INFUSION PROGRAMMED TO RUN OVER TWO HOURS (25 ML/HR). APPROXIMATELY 22 MINUTES LATER, ADMINISTERING NURSE NOTICED THAT THE ENTIRE 50ML HAD INFUSED INTO PATIENT. REVIEW OF INFUSION PUMP PROGRAMMING PRIOR TO ADMINISTRATION REVEALED ALL APPROPRIATE STEPS WERE FOLLOWED BY NURSING STAFF. PC UNIT AND CHANNEL WERE IMMEDIATELY REMOVED FROM SERVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
342490 CAREFUSION PC UNIT PUMP, INFUSION FRN CAREFUSION 303, INC. 8015
342491 CAREFUSION PUMP MODULE SET, ADMINISTRATION, INTRAVASCULAR FRN CAREFUSION 303, INC. 8100

Patients

Seq Age Sex Outcome Treatment
1 62 YR Male Required Intervention