DeathFPA
MICROCLAVE
Received Apr 11, 2013 · Event occurred Dec 5, 2012
Report 3067726 · MDR key 3067726
Device
Generic name
Set, Administration, Intravascular
Manufacturer
Icu Medical, Inc.Model number
*Catalog number
*
Lot number
18-841-SJ
Product problems
- Disconnection
- Fluid/Blood Leak
- Device Displays Incorrect Message
Patient
46 YR
- Low Blood Pressure/ Hypotension
- Blood Loss
- Test Result
Narrative
Description of Event or Problem
PATIENT FOUND IN BED LYING IN A POOL OF BLOOD MIXED WITH IV FLUID. BLUE PART OF IV HUB HAD BECOME DISCONNECTED DURING THE NIGHT. STAFF ALERTED BY BLOOD PRESSURE ALARM WHICH NOTED DROP TO 64/44. STAT CBC GAVE HGB AS 6.4 (DROPPED FROM 10.9 TWO HOURS EARLIER). PATIENT TRANSFUSED & MEDS/FLUIDS GIVEN TO INCREASE BP.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?PROVISION OF IV FLUIDS.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.DEVICE #2IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.