BEUDAMED
    FDA Adverse Event Other Summary report: N

    CAREFUSION

    MDR report key: 2379411 · Received December 12, 2011

    Report

    Report Number
    MW5023456
    Event Type
    Other
    Date Received
    December 12, 2011
    Date of Event
    November 29, 2011
    Report Date
    December 12, 2011
    Manufacturer
    CAREFUSION
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NURSE REMOVED CAREFUSION TUBING FROM IV CHANNEL TO DRAW BLOOD FROM PORTACATH. FOUND TUBING OVERINFLATED WITH FLUID JUST BELOW THE BLUE CONNECTION THAT SITS ABOVE THE CHANNEL CONTAINER. FILLED WITH FLUID LIKE AN "ANEURYSMAL" DEFORMITY. DID NOT CAUSE ALARM OR IMPAIRMENT IN PUMP FUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREFUSION NONE FPA CAREFUSION

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR