inforMED
MalfunctionFPK

UNK

Received Nov 3, 2014 · Event occurred Oct 13, 2014

Report 4284247 · MDR key 4284247

Device

Generic name

Tubing, Fluid Delivery

Manufacturer

Unk

Model number

UNK

Catalog number

*

Lot number

UNK

Product problems

  • Hole In Material
  • Leak/Splash

Patient

*

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

ARSENIC TRIOXIDE WAS HUNG ONTO POLE AND TUBING WAS PLACED IN IV PUMP, NOT CONNECTED TO PATIENT WHEN CHEMO STARTED LEAKING FROM TUBING INSIDE PUMP ONTO THE FLOOR. CHEMO AND TUBING WERE REMOVED AND PLACED INSIDE CHEMO BAG. SMALL HOLE WAS DISCOVERED IN "STRETCHY PART" OF TUBING LOCATED INSIDE PUMP CHAMBER. CHARGE NURSE NOTIFIED, CHEMO PHARMACIST NOTIFIED. SPILL KIT AND APPROPRIATE PPE WAS USED TO CLEAN SPILL, IV PUMP AND POLE CLEANED AND REMOVED FROM PATIENT ROOM. CHEMO DID NOT COME INTO CONTACT WITH PATIENT OR CLOTHING.