BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALARIS PUMP

    MDR report key: 18400033 · Received December 26, 2023

    Report

    Report Number
    MW5149589
    Event Type
    Other
    Date Received
    December 26, 2023
    Report Date
    December 22, 2023
    Manufacturer
    CAREFUSION 303, INC.
    Product Code
    FRN
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    CRNA HAD GRAVITY PRIMED PROPOFOL TUBING. THERE WAS AIR IN THE LINE SO THE ALARIS PUMP SOUNDED. SHE REMOVED TUBING FROM PUMP AND OPENED CLAMP TO DISCARD AIR BUT TUBING WAS ALREADY HOOKED UP TO THE PATIENT'S IV AND WAS FREE FLOWING FOR A PERIOD OF TIME BEFORE ANOTHER RN NOTICED. HALF OF THE PROPOFOL WAS GONE BEFORE THE CRNA CLAMPED IT OFF. PATIENT DESATURATED TO 65% AND COULD NOT MAINTAIN THEIR AIRWAY. AN LMA WAS PLACED AND THE PROCEDURE WAS A CARDIOVERSION WHICH DOES NOT TYPICALLY REQUIRE AIRWAY LOSS. ISMP, (B)(6) SUBMISSION ID:(B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2266333 ALARIS PUMP PUMP, INFUSION FRN CAREFUSION 303, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown PROPOFOL