MalfunctionFPB
1.2 MICRON FILTER
Received Jul 7, 2023 · Event occurred Jun 5, 2023
Report 17277386 · MDR key 17277386
Device
Product problems
- Backflow
- Crack
- Fluid/Blood Leak
Patient
5840 DA · Male
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
PATIENT WAS RUNNING TOTAL PARENTERAL NUTRITION (TPN) AND LIPIDS THROUGH A CENTRAL LINE. PATIENT NOTICED BED SHEET WAS WET DUE TO LEAK IN 1.2 MICRON FILTER THAT LIPIDS WAS RUNNING THROUGH. PATIENT'S MOTHER NOTICED THAT TPN WAS BACKFLOWING INTO FILTER AND LEAKING OUT WHILE LIPIDS WERE STOPPED. REGISTERED NURSE (RN) CONFIRMED CRACK IN 1.2 MICRON FILTER. PATIENT'S MOTHER STATES THIS IS THE THIRD TIME THIS HAS HAPPENED SINCE THEY HAVE BEEN ADMITTED.