CLEARLINK
Received Sep 9, 2025 · Event occurred Aug 13, 2025
Report 23004094 · MDR key 23004094
Device
Generic name
Set, Blood Transfusion
Manufacturer
Baxter Healthcare CorporationModel number
2C8750Catalog number
2C8750
Lot number
(10)DR25C19031
Product problems
- Insufficient Flow or Under Infusion
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
BLOOD TRANSFUSION HAD BEEN STARTED IN THE 1800 HOUR, AND WAS INFUSING DURING BSSR [BEDSIDE SHIFT REPORT]. STAFF NOTED BLOOD DRIPS IN CHAMBER AT REGULAR INTERVALS. THE RATE WAS SET AT 150 ML/HR. HOWEVER, WHEN THE 4 HOUR TIME LIMIT (2230) WAS APPROACHING, THE BAG WAS ONLY APPROXIMATELY HALF EMPTY. THE CLAMP TO THE BLOOD LINE WAS FULLY OPEN AND THE CLAMP TO THE NS [NORMAL SALINE] WAS FULLY CLOSED. THE NS BAG WAS MORE THAN HALF EMPTY, AND THE BLOOD LOOKED THINNER AND MUCH PALER THAN IS NORMAL FOR A UNIT OF PRBC [PACKED RED BLOOD CELLS].