Catalog Number UNKNOWN |
Device Problem
Inappropriate Audible Prompt/Feedback (2280)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/05/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Unknown manufacturer: there are multiple bd locations where this unspecified bd device may have been manufactured.A catalog and lot number could not be confirmed for this incident and without this information we are unable to determine where the device was manufactured.Therefore, bd corporate headquarters in (b)(4) has been listed and the (b)(4) fda registration number has been used for the manufacture report number.Medical device expiration date: unknown.The customer's address is unknown.(b)(6) usa has been used as a default.Device manufacture date: unknown.Investigation summary: bd was unable to perform a thorough investigation as no sample, lot, or batch number were provided.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored monthly.Our business team regularly reviews the collected data for identification of emerging trends.Capa is not required at this time.
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Event Description
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It was reported that unspecified bd¿ syringe pump alarm went off.The following information was provided by the initial reporter: it was reported that a clinician noted the pca syringe near empty, with a second clinician present.During clearing of pump history, the clinician noted the amount administered per pump did not match what amount would have been for the empty syringe.Verbatim: it was reported that a clinician noted the pca syringe near empty, with a second clinician present.During clearing of pump history, the clinician noted the amount administered per pump did not match what amount would have been for the empty syringe.The syringe in question was administered at 2034 on (b)(6) 2021 and was 50mg/50ml bd syringe dilaudid infusion.At the time of syringe change at 0645 on (b)(6) 2021, the syringe was empty, which would mean 50mg administered.Despite syringe being empty, the pump history read only 35.71mg was administered.The clinician called pharmacy and verified tubing was not changed and no priming had occurred.The patient was receiving high doses of medication and concentration of dilaudid 1mg/1ml was used.It was further noted that patient and family had silenced or restarted pumps and were educated not to manage device.There were no adverse effects caused to the patient.
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Event Description
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It was reported that unspecified bd¿ syringe pump alarm went off.The following information was provided by the initial reporter: it was reported that a clinician noted the pca syringe near empty, with a second clinician present.During clearing of pump history, the clinician noted the amount administered per pump did not match what amount would have been for the empty syringe.Verbatim: it was reported that a clinician noted the pca syringe near empty, with a second clinician present.During clearing of pump history, the clinician noted the amount administered per pump did not match what amount would have been for the empty syringe.The syringe in question was administered at 2034 on (b)(6) 2021 and was 50mg/50ml bd syringe dilaudid infusion.At the time of syringe change at 0645 on (b)(6) 2021, the syringe was empty, which would mean 50mg administered.Despite syringe being empty, the pump history read only 35.71mg was administered.The clinician called pharmacy and verified tubing was not changed and no priming had occurred.The patient was receiving high doses of medication and concentration of dilaudid 1mg/1ml was used.It was further noted that patient and family had silenced or restarted pumps and were educated not to manage device.There were no adverse effects caused to the patient.
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Manufacturer Narrative
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The following fields have been updated with additional information: g.4.Date received by manufacturer: 2021-04-07.
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Search Alerts/Recalls
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