inforMED
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

Model number

11949-0000-01

Catalog 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.