IV ADMINISTRATION LINE

Report

• Report Number: MW5160864
• Event Type: Injury
• Date Received: October 8, 2024
• Date of Event: September 16, 2024
• Report Date: October 2, 2024
• Manufacturer: UNKNOWN
• Product Code: FPA
• Adverse Event: Yes
• Report Source: Voluntary report
• Reporter Occupation: OTHER HEALTH CARE PROFESSIONAL
• Health Professional: Yes

Narratives

Description of Event or Problem · 0

PATIENT REPORTED LAST MONTH SHE WAS ON MAINTENANCE DOSING VELETRI SDV AND RATE OF 91ML/24H, BUT STATED HER LINE WAS CLOGGED ON (B)(6) 2024 AND HER INFUSION AT THAT TIME STOPPED FOR 2 HOURS. PATIENT REPORTED SHE WAS ADMITTED TO THE HOSPITAL AT THAT TIME AND HER INFUSION WAS STARTED BACK UP AT A LOWER UNSPECIFIED DOSE. PATIENT STATED SHE HAS A NEW LINE PLACED AND IS INFUSING FINE WITH NO ISSUES. NO FURTHER INFORMATION, DETAILS, OR DATES AVAILABLE. UNKNOWN WHEN PATIENT WAS DISCHARGED FROM THE HOSPITAL. REPORTED TO (B)(6) BY: PATIENT/CAREGIVER.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
312412	IV ADMINISTRATION LINE	SET, ADMINISTRATION, INTRAVASCULAR	FPA	UNKNOWN

Patients

Seq	Age	Sex	Outcome	Treatment
1	47 YR	Female	Hospitalization	TADALAFIL.| VELETRI SDV.| WINREVAIR SDV.

Terms

Patient problem · 1

• Insufficient Information

Type of report · 1

• Initial submission