BAXTER HEALTHCARE CORPORATION ONE-LINK NEUTRAL LUER ACTIVATED DEVICE; SET, ADMINISTRATION, INTRAVASCULAR
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Catalog Number 7N8399 |
Device Problem
Filling Problem (1233)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/31/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Initial reporter facility name: (b)(6).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 an underinfusion occurred during use of a one-link needle-free iv connector.During 0.9% sodium chloride (nacl) infusion via free flow, the user attracted a non-baxter 50ml syringe for an iv push of doxurubicine.This interrupted the gravity flow the primary infusion.Which caused the expected infusion time of ten minutes to infuse over 15 minutes instead.Additionally, the patient¿s peripherally inserted central catheter (picc) was attached with a clearlink system continu-flo solution set.There was no patient injury or medical intervention associated with this event.No additional information is available.
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Manufacturer Narrative
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Additional information was added to h6 and h10.H10: the device was not returned and the lot number is unknown; 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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