MalfunctionFPB
MEDEX
Received Jan 4, 2024 · Event occurred Sep 27, 2023
Report 18443172 · MDR key 18443172
Device
Generic name
Filter, Infusion Line
Manufacturer
Smiths Medical Asd, Inc.Model number
FS116Catalog number
FS116
Lot number
4398327
Patient
4 DA · Female
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
FROM STAFF: RN FLUSHING NEW MEDICATION LINES FOR UMBILICAL ARTERIAL LINE SET UP WITH NEW FLUID SYRINGE. LEAKING FLUID NOTED AT FILTER PART OF MEDICATION LINE.FROM STAFF: RN FLUSHING NEW MEDICATION LINES FOR UMBILICAL ARTERIAL LINE SET UP WITH NEW FLUID SYRINGE. LEAKING FLUID NOTED AT FILTER PART OF MEDICATION LINE.