inforMED
MalfunctionFPK

ALARIS

Received Feb 21, 2014 · Event occurred Feb 19, 2014

Report 3644103 · MDR key 3644103

Device

Generic name

Iv Tubing

Model number

2420-0007

Catalog number

2420-0007

Lot number

*

Product problems

  • Detachment Of Device Component
  • Leak/Splash

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE NURSE (RN) WAS TRYING TO START AN INTRAVENOUS (IV) WITH PRIMARY TUBING AND THE IV TUBING CAME OFF OF THE IV CHAMBER AND THE IV FLUID CAME OUT ON TO THE FLOOR. NO HARM TO PATIENT AND/OR RN.