BAXTER HEALTHCARE - AIBONITO ONE-LINK NEUTRAL LUER ACTIVATED DEVICE; SET, ADMINISTRATION, INTRAVASCULAR
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Catalog Number 7N8399 |
Device Problems
Improper or Incorrect Procedure or Method (2017); Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Bacterial Infection (1735); Fever (1858)
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Event Date 03/05/2017 |
Event Type
Injury
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Manufacturer Narrative
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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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Event Description
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A patient experienced a central line associated blood stream infection (clabsi) which was reported to be due to a one-link neutral luer activated device (no further detail was provided).The patient was admitted to the hospital from another facility with a peripherally inserted central catheter (picc) place from outside the facility two days prior.Two days later the patient developed a fever.On an unreported date, the patient was treated with unspecified (reported as ¿appropriated¿) antibiotics for clabsi (doses, frequencies, and routes were not reported).No further detail was provided regarding the patient¿s outcome from the event.No additional information is available.
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Manufacturer Narrative
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The cause of the event was determined to be human error as the packaging instructions were not followed.Should additional relevant information become available, a supplemental report will be submitted.
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Search Alerts/Recalls
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