MalfunctionFPA
FREEDOM 60 PUMP
Received Aug 30, 2017 · Event occurred Aug 17, 2017
Report MW5071846 · MDR key 6830635
Device
Generic name
Intravascular Administration Set
Manufacturer
Csl Behring LlcProduct problems
- Detachment Of Device Component
Patient
14 YR
- No Code Available
- No Code Available
Narrative
Description of Event or Problem
PT'S MOM CALLED STATING THAT PROBLEM WITH THE PUMP. SHE SAID SYRINGE KEPT POPPING OUT OF PUMP AND INFUSION WAS TOO FAST. THEY DID FINISH THE INFUSION. RPH ASKED IF FLOW RATE TUBING CONNECTED, AND MOM SAID IT WAS. RPH OK'D TO HAVE PUMP EXCHANGED, BUT REMINDED MOM TO REMEMBER TO KEEP FLOW RATE TUBING CONNECTED SECURELY BEFORE INFUSING. SERIAL NUMBER UNK. PT IS SCHEDULED FOR A PUMP EXCHANGE AND WILL BE RETURNING THAT PUMP, AND NO ISSUES EXPERIENCED BY PT DUE TO PRODUCT PROBLEM.