Catalog Number 303134 |
Device Problem
Gas/Air Leak (2946)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 03/28/2019 |
Event Type
malfunction
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Manufacturer Narrative
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Device evaluated by mfr: a device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
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Event Description
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It was reported that during the preparation of an "intrathecal methotrexate", small bubbles were noticed behind the syringe 10ml s/t 200 s/c plunger, and while trying to draw up medication, leakage occurred from the seal between the plunger and barrel.The following information was provided by the initial reporter: "during preparation of an intrathecal methotrexate, the pharmacist noticed very small bubbles of drug behind the plunger.She was not drawing on the dose too hard that would potentially cause the seal between plunger and barrel to leak.She then tried again and the same thing happened.The next time she transferred the dose from another syringe to avoid the issue.The lot number is 6179873.No harm to the patient but potential exposure to staff to chemotherapy.".
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Manufacturer Narrative
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Correction: after additional review, this report is a duplicate report of mfr #1213809-2019-00434.This event has been over-reported.
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Event Description
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It was reported that during the preparation of an "intrathecal methotrexate", small bubbles were noticed behind the syringe 10ml s/t 200 s/c plunger, and while trying to draw up medication, leakage occurred from the seal between the plunger and barrel.The following information was provided by the initial reporter: "during preparation of an intrathecal methotrexate, the pharmacist noticed very small bubbles of drug behind the plunger.She was not drawing on the dose too hard that would potentially cause the seal between plunger and barrel to leak.She then tried again and the same thing happened.The next time she transferred the dose from another syringe to avoid the issue.The lot number is 6179873.No harm to the patient but potential exposure to staff to chemotherapy.".
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Search Alerts/Recalls
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