BAXTER HEALTHCARE CORPORATION ONE-LINK NEUTRAL LUER ACTIVATED DEVICE; SET, ADMINISTRATION, INTRAVASCULAR
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Catalog Number 7N8399 |
Device Problem
Fluid/Blood Leak (1250)
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Patient Problem
Injury (2348)
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Event Date 01/15/2021 |
Event Type
Injury
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Manufacturer Narrative
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Should additional relevant information become available, a supplemental report will be submitted.
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Event Description
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It was reported that during patient infusion of pentobarbital with a one-link needlefree connector, the patient became agitated.It was reported a leak was observed from the connector ¿between the stopcock and the white heplock cap", further specified as the top of heplock cap.It was reported the nurse tried to tighten the connection and change the stopcock; however, the leak continued.The heplock cap was changed and the leak stopped.No disconnection or damage was noted to the device.The patient was administered "boluses of the medication" and the patient ¿settled down¿.No additional information is available.
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Manufacturer Narrative
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A batch review was conducted and there were no deviations found related to this reported condition during the manufacture of this lot.The device was not received for evaluation; therefore, a device analysis could not be completed.Should additional relevant information become available, a supplemental report will be submitted.
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Search Alerts/Recalls
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