inforMED
InjuryFPK

HIGH FLOW TRF SET

Received Mar 8, 2013 · Event occurred Nov 1, 2012

Report 9613251-2013-00062 · MDR key 3008335

Device

Generic name

80fpk

Manufacturer

Hospira, Ltd

Model number

NA

Catalog number

15435

Lot number

UNKKZ

Product problems

  • Difficult to Insert

Patient

31 YR

  • Injury

Narrative

Description of Event or Problem

GENERAL REPORT RECEIVED OF AN UNSPECIFIED NUMBER OF UNDOCUMENTED INCIDENTS OF DIFFICULTY INSERTING THE PIERCING PIN OF THE TUBING SETS INTO ADMINISTRATIVE PORT OF SOLUTION CONTAINERS; SUBSEQUENTLY, A HAND INJURY WAS REPORTED. THE TUBING SETS WERE BEING USED TO TRANSFER UNSPECIFIED VOLUMES OF AMINOSYN FROM SOLUTION CONTAINERS INTO UNSPECIFIED CONTAINERS. THE CUSTOMER CONTACT REPORTED THAT DURING THE DURATION OF AN UNSPECIFIED LENGTH OF TIME, A PHARMACY TECHNICIAN GRASPED AN UNSPECIFIED PORT OF THE AMINOSYN CONTAINERS AND INSERTED THE PIERCING PIN OF THE TUBING SETS WITH A TWISTING MOTION INTO THE PORT OF THE SOLUTION CONTAINERS. AT AN UNSPECIFIED TIME, THE PHARMACY TECHNICIAN REPORTED A HAND INJURY DUE TO THE DIFFICULTY INSERTING THE PIERCING PIN OF THE TUBING SETS INTO ADMINISTRATIVE PORT OF SOLUTION CONTAINERS. IT WAS REPORTED THAT THE PHARMACY TECHNICIAN UNDERWENT TWELVE SESSIONS OF OCCUPATIONAL THERAPY ON UNSPECIFIED DATES DURING THE MONTH OF (B)(6). THE CUSTOMER CONTACT REPORTED THAT THE OCCUPATIONAL THERAPY DID NOT PROVIDE SATISFACTORY RELIEF. ON (B)(6) /2013, THE PHARMACY TECHNICIAN RECEIVED A HYDROCORTISONE INJECTION AT AN UNSPECIFIED LOCATION ON THE LEFT HAND. THOUGH REQUESTED, NO ADDITIONAL INFORMATION WAS PROVIDED.

Additional Manufacturer Narrative

THE CUSTOMER CONTACT INDICATED THAT THE DEVICES WERE DISCARDED. INVESTIGATION IS NOT COMPLETE. THIS REPORT REPRESENTS ALL THE INFORMATION KNOWN BY THE REPORTER UPON QUERY BY HOSPIRA PERSONNEL.