FDA Adverse Event Summary report: N

MEDFUSION

MDR report key: 1053183 · Received May 12, 2008

Report

Report Number
1053183
Date Received
May 12, 2008
Date of Event
March 31, 2007
Report Date
May 2, 2008
Manufacturer
SMITHS MEDICAL
Product Code
FRN
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

POSSIBLE UNDER INFUSION OF MEDICATION TO PATIENT. THE PUMP WAS SET TO DELIVER IN THE "BODY WEIGHT" MODE INSTEAD OF VOLUME OVER TIME MODE, AND ML/HR MODE. THE RATE SET ON THE PUMP WAS DISPLAYED AS .080 MG/KG/MIN. THE PUMP WAS TESTED AT THE SETTING DISPLAYED. IT WAS SET TO A CONCENTRATION EQUAL TO 10 UG/ML, AND WEIGHT EQUAL TO 8.05 KG. THE CALCULATED RATE OF THIS CONCENTRATION MODE CAME TO 4.83 ML PER HOUR. THE BIOMED TESTS CONFIRM A DELIVERY OF 4.686 ML/HR THAT CALCULATES TO AN ERROR RATE OF 2.98%.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEDFUSION PUMP, SYRINGE FRN SMITHS MEDICAL 2010 *

Patients

Seq Age Sex Outcome Treatment
1 9 MO