BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HOSPIRA PLUM A + INFUSION PUMP

    MDR report key: 1022042 · Received March 20, 2008

    Report

    Report Number
    MW5006055
    Event Type
    Injury
    Date Received
    March 20, 2008
    Date of Event
    March 7, 2008
    Report Date
    March 19, 2008
    Manufacturer
    HOSPIRA AND CO.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS SEEN IN ED AND GIVEN A SEDATIVE DOSE OF DIPRIVAN. DIPRIVAN WAS ADMINISTERED BY HOSPIRA INFUSION PUMP AND WAS GIVEN VERY QUICKLY (WITHIN 10 MINUTES). PUMP WAS SET TO 5-10MCG/PER 100KG PER MINUTE. ALL 1000MG OF DIPRIVAN WAS INFUSED BY THE INFUSION PUMP WITHIN 10 MINUTES. PT WAS GIVEN EPINEPHRINE AND DOBUTAMINE TO BRING BLOOD PRESSURE BACK UP QUICKLY AND PT RESPONDED WELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPIRA PLUM A + INFUSION PUMP INFUSION PUMP FRN HOSPIRA AND CO. PLUM A+ INFUSION PUMP NA

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Required Intervention LIFESHIELD PRIMARY IV PLUMSET TUBING