inforMED
MalfunctionFPK

UNSPECIFIED PLUM SET

Received May 11, 2023 · Event occurred Mar 6, 2023

Report 9615050-2023-00134 · MDR key 16911155

Device

Generic name

Unspecified

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Unknown

  • Chemical Exposure
  • Chemical Exposure

Narrative

Description of Event or Problem

IT WAS REPORTED THAT AN UNSPECIFIED PLUM SET WITH LEAKED AN UNSPECIFIED CHEMO DRUG DURING THE NIGHT SHIFT, AROUND 11:30 PM. THE PATIENT'S FAMILY WENT TO THE NURSE STATION AND INFORMED THE NURSES THAT THE C/T LINE WAS DRIPPING. THE NURSE OBSERVED THAT THERE WERE DROPLETS APPEARING AT THE VENT HOLE WHEN VISITING THE PATIENT'S UNIT. THERE WAS PATIENT INVOLVEMENT, HOWEVER, NO PATIENT HARM WAS REPORTED.

Additional Manufacturer Narrative

THE DEVICE IS NOT AVAILABLE FOR INVESTIGATION. WITHOUT THE RETURN OF THE DEVICE A PROBABLE CAUSE IS UNABLE TO BE DETERMINED.