DeathJAF
UNETIXS VASCULAR
Received Jan 4, 2023 · Event occurred Oct 23, 2022
Report 0001222117-2023-60002 · MDR key 16098580
Device
Generic name
Vascular Diagnostic Equipment
Manufacturer
Unetixs Vascular IncModel number
11949-0000-01Catalog number
11949-0000-01
Lot number
N/A
Product problems
- Misconnection
- Misconnection
Patient
76 YR · Male
- Air Embolism
- Air Embolism
Narrative
Description of Event or Problem
ON NOVEMBER 28TH UNETIXS VASCULAR BECAME AWARE OF AN INCIDENT IN WHICH A HOSPITAL TECHNICIAN AND AN AGENCY TECHNICIAN TRAINEE CONNECTED THE AIR INFLATION LINE FROM A MULTILAB 2000 SERIES 2 LHS ERGO TO THE RIGHT SALINE LOCK OF A PATIENT IV, CAUSING AN AIR EMBOLISM AND DEATH. THE HOSPITAL SUBITTED A PAPER COPY OF MEDWATCH.