inforMED
MalfunctionFPK

60 INCH EXTENSION SET

Received Oct 3, 2013 · Event occurred Sep 30, 2013

Report 3428875 · MDR key 3428875

Device

Generic name

Tubing, Fluid Delivery

Model number

*

Catalog number

MX448L60

Lot number

2536316

Product problems

  • Crack
  • Leak/Splash
  • Improper Flow or Infusion

Patient

10 YR

  • Underdose

Narrative

Description of Event or Problem

PATIENT'S CONTINUOUS INFUSION OF CALCIUM GLUCONATE FOUND LEAKING AT TUBING EXIT FROM SYRINGE. ON INSPECTION, CRACK NOTED IN TUBING. IMMEDIATELY REMOVED AND NEW MEDICATION ORDERED. INFUSION WAS VOL OF 80 MLS AT 20 MLS/HR. INFUSING LESS THAN 1 HR. PATIENT HAD DELAY IN RECEIVING MEDICATION; NO LONG TERM HARM.