FDA Adverse Event Malfunction Summary report: N

ALARIS PUMP MODULE

MDR report key: 2233141 · Received July 20, 2011

Report

Report Number
2016493-2011-00430
Event Type
Malfunction
Date Received
July 20, 2011
Report Date
June 29, 2011
Manufacturer
CAREFUSION CORPORATION
Product Code
FRN
PMA / PMN Number
K012383
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE HOSPITAL DISCOVERED THAT THE OVER INFUSION WAS DUE TO THE UPPER HINGE ON THE PLATEN BEING CRACKED AND ALLOWING UNREGULATED FLOW. THEY ARE PLANNING TO REPAIR THE DEVICE THEMSELVES AND WILL NOT BE RETURNING THE DEVICE FOR INVESTIGATION.

Description of Event or Problem · 1

CUSTOMER REPORTED A FLUID BOLUS TO A RENAL PT WITH CONGESTIVE HEART FAILURE IN THE PACU. THERE WAS NO PT HARM OR MEDICAL INTERVENTION. CUSTOMER STATES THAT NO FURTHER PT/EVENT INFO IS AVAILABLE. THE HOSPITAL DISCOVERED THAT OVER INFUSION WAS DUE TO THE UPPER HINGE ON THE PLATEN BEING CRACKED AND ALLOWING UNREGULATED FLOW. CUSTOMER STATED THAT PRODUCT WILL NOT BE RETURNED THEY KNOW THE CAUSE OF THE EVENT AND ARE PLANNING TO REPAIR THE DEVICE THEMSELVES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ALARIS PUMP MODULE FRN CAREFUSION CORPORATION 8100 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK ALARIS PC UNIT, S/N UNKNOWN