inforMED
MalfunctionOGE

PERIFIX FX CONTINUOUS EPIDURAL ANESTHESIA TRAY

Received Jun 3, 2024 · Event occurred Nov 15, 2023

Report 19446788 · MDR key 19446788

Device

Generic name

Epidural Anesthesia Kit

Lot number

0061900630

Patient

NA · Female

  • Pain
  • Pain

Narrative

Description of Event or Problem

RN (REGISTERED NURSE) CHECKED ON PT (PATIENT) FOLLOWING EPIDURAL PLACEMENT. 30 MINUTES POST EPIDURAL, PT STILL HAVING SEVERE PAIN. PT PROVIDED EPIDURAL BUTTON AND AFTER HITTING IT PT REPORTED FEELING WET BEHIND HER BACK. THIS RN CHECKED AND SAW EPIDURAL MEDICATION LEAKING FROM CONNECTION BETWEEN EPIDURAL AND BUBBLE CHAMBER. ANESTHESIA PAGED AND AT BEDSIDE TO ASSESS.