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Model Number 2420-0500 |
Device Problems
Device Slipped (1584); Appropriate Term/Code Not Available (3191)
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Patient Problem
Insufficient Information (4580)
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Event Date 11/28/2021 |
Event Type
malfunction
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Event Description
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Patient with history of coronary heart disease (cad), hypertension (htn), elevated cholesterol and malignant neoplasm of bone required an infusion # 1 of 3 - provenge (sipuleucel-t).
Provenge was hanging on the iv pole.
Bd alaris¿ pump module administration set was spiked into the appropriate port of the provenge.
The spike fell out and provenge ran out all over the floor.
No known harm to patient or staff.
Provenge was ordered weekly x 3 doses.
The patient went through leukapheresis to have the three doses prepared.
This infusion was number 1.
There are two more to be given but patient will have to go through leukapheresis again for the preparation of the 3rd dose.
Clinical staff reached out to company to notify them.
Notification of bag change on the back of the provenge.
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Search Alerts/Recalls
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