FDA Adverse Event Injury Summary report: N

NORMAL SALINE PREFILLED FLUSH

MDR report key: 309931 · Received December 22, 2000

Report

Report Number
6000001-2000-00658
Event Type
Injury
Date Received
December 22, 2000
Date of Event
November 1, 2000
Report Date
November 29, 2000
Manufacturer
BAXTER HEALTHCARE COMPASS
Product Code
FOZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ACCOUNT REPORTS INCREASED INFECTION RATES OF CENTRAL LINES WHICH THEY ATTRIBUTE MAY BE FROM THE PREFILLED HEPARIN AND SALINE SYRINGES. CULTURES OF SOLUTIONS OF PREFILLED SYRINGES WERE NEGATIVE BUT CULTURES FROM THE OUTSIDE OF THE SYRINGES HAVE CULTURED CHYSEOMONAS LUTEOLA (35/40) AND ACINETOBACTER IWOFFII (5/40) IN THEIR LAB WHICH ARE THE SAME ORGANISMS CULTURED FROM THE CATHETERS OF APPROXIMATELY 50 PEDIATRIC HOME CARE AND INPATIENT ONCOLOGY PATIENTS. ACCOUNT DID NOT SUPPLY SPECIFIC INFORMATION, TYPE OF INFECTION OR TREATMENT ON EACH PATIENT. PRODUCTS IDENTIFIED: PRODUCT CODE/LOT NUMBER/MANUFACT. DATE 2K0905/KH00205/08/02/00, 2K0905/KH00107/02/22/00, 2K6050/B00062/05/23/00, 2K6030/B00100/07/19/00.

Description of Event or Problem · 1

ACCOUNT REPORTS INCREASED INFECTION RATES OF CENTRAL LINES WHICH THEY ATTRIBUTE MAY BE FROM THE PREFILLED HEPARIN AND SALINE SYRINGES. CULTURES OF SOLUTIONS OF PREFILLED SYRINGES WERE NEGATIVE BUT CULTURES FROM THE OUTSIDE OF THE SYRINGES HAVE CULTURED CHYSEOMONAS LUTEOLA (35/40) AND ACINETOBACTER IWOFFII (5/40) IN THEIR LAB WHICH ARE THE SAME ORGANISMS CULTURED FROM THE CATHETERS OF APPROXIMATELY 50 PEDIATRIC HOME CARE AND INPATIENT ONCOLOGY PATIENTS. ACCOUNT DID NOT SUPPLY SPECIFIC INFORMATION, TYPE OF INFECTION OR TREATMENT ON EACH PATIENT. PRODUCTS IDENTIFIED: PRODUCT CODE/LOT NUMBER/MANUFACT. DATE 2K0905/KH00205/08/02/00, 2K0905/KH00107/02/22/00, 2K6050/B00062/05/23/00, 2K6030/B00100/07/19/00.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NORMAL SALINE PREFILLED FLUSH COMPASS PREFILLED SYRINGE FOZ BAXTER HEALTHCARE COMPASS NA NA01

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention