inforMED
MalfunctionFPK

EXT DIAL-A-FLO SET 18IN PP Y-SITE NDEHP

Received Jan 17, 2014 · Event occurred Jan 1, 2013

Report 9613251-2014-00007 · MDR key 3704528

Device

Generic name

80fpk

Manufacturer

Hospira Ltd.

Model number

NA

Catalog number

11742

Lot number

UNK4W

Product problems

  • Inaccurate Delivery

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE CUSTOMER CONTACT REPORTED INACCURATE DELIVERY. ON AN UNSPECIFIED DATE, THE TUBING SET WAS BEING USED TO DELIVERY AN UNSPECIFIED MEDICATION, VIA GRAVITY. THE CUSTOMER CONTACT REPORTED THAT THE DIAL-O-FLOW REGULATOR IS NOT RELIABLE WHEN THE NUMBER OF DROPS ARE COUNTED WITH THE NAKED EYE. NO SPECIFIC DETAILS WERE PROVIDED. THERE WERE NO REPORTED ADVERSE PATIENT EFFECTS AND NO REPORTED DELAY OF THERAPY CRITICAL TO THIS PATIENT. NO MEDICAL INTERVENTIONS WERE REQUIRED. NO MEDICAL INTERVENTIONS WERE REQUIRED. THOUGH REQUESTED, NO ADD'L INFO WAS PROVIDED, INCLUDING WHAT THE EXPECTED RATE TO BE DELIVERED WAS VERSUS WHAT THE ACTUAL RATE DELIVERED WAS AND IF THE TUBING SET WAS REPLACED AND THE THERAPY RESUMED.

Additional Manufacturer Narrative

THE CUSTOMER CONTACT INDICATED THAT THE DEVICE WAS DISCARDED. INVESTIGATION IS NOT COMPLETE. THIS REPORT REPRESENTS ALL THE INFO KNOWN BY THE REPORTER UPON QUERY BY HOSPIRA PERSONNEL.