BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MILLENIUM

    MDR report key: 1845000 · Received September 22, 2010

    Report

    Report Number
    MW5017570
    Event Type
    Injury
    Date Received
    September 22, 2010
    Date of Event
    January 7, 2007
    Report Date
    September 22, 2010
    Manufacturer
    CERNER
    Product Code
    LNX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CENTRAL AND PICC LINES BECAME OBSTRUCTED WITH THROMBUS AT A LOW BUT FINITE FREQUENCY. TPA - TISSUE PLASMINOGEN ACTIVATOR - IS A DRUG OF CHOICE USED IN MINUTE QUANTITIES TO CLEAR THE THROMBUS. "TPA" IS NOT AVAILABLE ON CERNER'S MENU OF MEDICATIONS AND DOES NOT ALIAS TO THE MEDICATION THAT IS ON THE LIST, "ALTEPLASE". THIS NUISANCE GLITCH RESULTS IN FREQUENT DELAYS IN CARE AND THERAPY - TO GO THROUGH THE CLOGGED LINE - AND DISRUPTIONS IN WORKFLOW, UNTIL EVERY POTENTIAL USER KNOWS TO NOT ATTEMPT TO ORDER "TPA", AND KNOWS AND REMEMBERS "ALTEPLASE". THE FAILURE TO RECOGNIZE GENERIC AND BRAND NAMES AND OTHERWISE COMMONLY USED NAMES OF MEDICATIONS ON THESE CPOE DEVICES CREATES IMPEDIMENTS AND DELAYS TO CARE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MILLENIUM CPOE LNX CERNER

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization| O