This report has been identified as b.Braun medical inc.Internal report number (b)(4).Based on the information provided by the user, the spike change was done independent of the apex software.The user should always ensure the spike selected by the system is the spike being used on the source container.Failure to do so can result in inaccurate dispenses.In some cases, occlusions, bubbles or final weight variances may cause the bag to fail if the incorrect spike is used, but not all of the time.There are settings in the system where a pharmacist can check and approve the setup ("require setup approval") and where a pharmacist can perform the priming of an ingredient on setup ("require pharmacist priming").These are further mitigations to allow for catching issues related to incorrect spike type selection/usage.If additional pertinent information becomes available a follow-up report will be filed.
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