Catalog Number 2420-0007 |
Device Problems
Complete Blockage (1094); Deformation Due to Compressive Stress (2889)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/25/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Device expiration date: unknown.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.Device manufacture date: unknown.
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Event Description
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It was reported that the as lvp 20d 2ss cv experienced flow issues and was clogged/blocked/occluded.The following information was provided by the initial reporter: material no: 2420-0007, batch no: unknown.I kept titrating the levophed to over 0.5 with the doctors at the bedside multiple times with no noticeable improvement in patients bp.Labs were sent and patient started on high dose steroids.Vasopressin was ordered in addition to the levophed.Before i hung the vaso i realized the pump was not actually delivering any levophed at all even though the line was primed and loaded correctly and the pump thought it was delivering it and gave no errors at all.Upon further inspection the tubing inside the channel was flat and the internal pump mechanism did not seem to be working correctly while the pump seemed to be infusing with no problems and no errors/alarms.Levophed was disconnected and no difference to patients bp was noted.Charge rn, resident, and fellow notified.This set of tubing was dated and hung on 1-22 and the bottle of levophed had more than 250cc of volume in it where a new bottle has 250.The patient couldn't have gotten any levophed when they originally hung the container 3 days prior either.
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Event Description
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It was reported that the as lvp 20d 2ss cv experienced flow issues and was clogged/blocked/occluded.The following information was provided by the initial reporter: material no: 2420-0007, batch no: unknown.I kept titrating the levophed to over 0.5 with the doctors at the bedside multiple times with no noticeable improvement in patients bp.Labs were sent and patient started on high dose steroids.Vasopressin was ordered in addition to the levophed.Before i hung the vaso i realized the pump was not actually delivering any levophed at all even though the line was primed and loaded correctly and the pump thought it was delivering it and gave no errors at all.Upon further inspection the tubing inside the channel was flat and the internal pump mechanism did not seem to be working correctly while the pump seemed to be infusing with no problems and no errors/alarms.Levophed was disconnected and no difference to patients bp was noted.Charge rn, resident, and fellow notified.This set of tubing was dated and hung on 1-22 and the bottle of levophed had more than 250cc of volume in it where a new bottle has 250.The patient couldn't have gotten any levophed when they originally hung the container 3 days prior either.
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Manufacturer Narrative
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This complaint has been identified as a duplicate of mfr report #: 2243072-2021-00573.This complaint and the initial mdr, (mfr report # 9616066-2021-50632), can therefore be disregarded.
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Search Alerts/Recalls
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