BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREFUSION ALARIS

    MDR report key: 2781170 · Received September 27, 2012

    Report

    Report Number
    MW5027178
    Event Type
    Malfunction
    Date Received
    September 27, 2012
    Date of Event
    September 6, 2012
    Report Date
    September 8, 2012
    Manufacturer
    CAREFUSION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS ON A NITRO DRIP HUNG IN EMERGENCY ROOM PRIOR TO TRANSFER UP TO TELE UNIT. APPROXIMATELY 2 HOURS LATER IT WAS NOTED THAT THE NITRO DRIP HAD INFUSED COMPLETELY AND AIR WAS IN LINE. RATE CHECKED BY 2 RN'S ON TRANSFER AND LOOKED AT BOTTLE WHICH DID HAVE A LARGE VOLUME LTC. STATED NO FLUID ON FLOOR OR BEDDING. IV NOT INFILTRATED. REASON FOR USE: HTN WITH CHEST PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREFUSION ALARIS NONE FRN CAREFUSION
    2 NITROGLYCERIN 50MG/IN 250ML NONE FRN BAXTER

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Other