inforMED
MalfunctionFPB

MEDEX

Received May 12, 2023 · Event occurred Apr 5, 2023

Report 16918481 · MDR key 16918481

Device

Generic name

Filter, Infusion Line

Model number

MX448HFB

Lot number

4355305

Product problems

  • Difficult to Flush
  • Obstruction of Flow

Patient

1825 DA · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

I WAS HANGING MY TPN AND LIPIDS FOR THE PATIENT IN THE LATE EVENING. AFTER I GOT A SECOND RN SIGNATURE, AND STARTED THEM, THE LIPID LINE KEPT BEEPING OCCLUDED. I AND RN 2 TRIED TO FLUSH THE LIPIDS FROM TWO DIFFERENT PORT SITES, BUT IT JUST KEPT BACKING UP INTO THE RUBBER PART OF THE ALARIS TUBING INTO A BIG BUBBLE. WE ENDED UP HAVING TO GET A NEW EXTENSION SET WITH A FILTER AND WASTE THE PRODUCT THAT WAS IN THE EXTENSION SET THAT WASN'T FLUSHING.