Catalog Number 955626 |
Device Problem
Improper Flow or Infusion (2954)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 12/09/2022 |
Event Type
malfunction
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Event Description
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It was reported that during continuous renal replacement therapy using a prismax machine, the patient received a heparin bolus as a result of the syringe emptied completely when changing the syringe.The event occurred after multiple alarms were generated including bag empty; access disconnection; effluent line clamped; heparin syringe empty.It was further reported the nurse attempted to reinstall the same syringe.There was no report of patient injury or medical intervention associated with this event.No additional information is available.
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Manufacturer Narrative
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Initial reporter phone no: (b)(6).Should additional relevant information become available, a supplemental report will be submitted.
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Manufacturer Narrative
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Additional information added to h6 and h10.H10: the device was not received for evaluation; therefore, a device analysis could not be completed.A service history review was performed and revealed that the device has no previous service events; therefore, servicing did not cause or contribute to the reported event.Should additional relevant information become available, a supplemental report will be submitted.
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Search Alerts/Recalls
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