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 |