BEUDAMED
    FDA Adverse Event Other Summary report: N

    TRANSTAR KIDS, 19 IN, CLOSED BLD SAMPLE KIT

    MDR report key: 4207049 · Received October 21, 2014

    Report

    Report Number
    MW5038815
    Event Type
    Other
    Date Received
    October 21, 2014
    Date of Event
    October 18, 2014
    Report Date
    October 21, 2014
    Manufacturer
    SMITHS MEDICAL
    Product Code
    CBT
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    UPON PRIMING NEW ARTERIAL LINE TUBING TO BE CONNECTED TO THE PATIENT, RN NOTICED THAT WHEN SHE CONNECTED THE CLOSED SYSTEM ARTERIAL LINE TUBING, THE FLUID WOULD NO LONGER PRIME EASILY THROUGH THE TUBING. UPON INSPECTION, THE TUBING CONNECTED TO THE WASTE DRAW SYRINGE WAS NOTED TO BE TIGHT AT THE CONNECTION SITE; THUS LIMITING THE AMOUNT OF FLUID DRAWN INTO THE SYRINGE. NEW TUBING WAS UTILIZED, DEFECTIVE TUBING NOT CONNECTED TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    669219 TRANSTAR KIDS, 19 IN, CLOSED BLD SAMPLE KIT TRANSTAR KIDS, 19 IN, CLOSED BLD SAMPLE KIT CBT SMITHS MEDICAL 2736510

    Patients

    Seq Age Sex Outcome Treatment
    1 24 MO Other