FDA Adverse Event
Malfunction
Summary report: N
CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP
MDR report key: 11768959
·
Received May 4, 2021
Report
- Report Number
- 3012307300-2021-03751
- Event Type
- Malfunction
- Date Received
- May 4, 2021
- Date of Event
- April 3, 2021
- Report Date
- May 4, 2021
- Product Code
- LZH
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
INFORMATION WAS RECEIVED INDICATING THAT A SMITHS MEDICAL CADD-LEGACY DUODOPA AMBULATORY INFUSION DAY PUMP WAS LEFT ON A PATIENT OVER NIGHT. PER REPORTER THE PROGRAMMED CONTINUOUS DOSE ON THE DAY PUMP WAS 4.6 ML/H AND THE CONTINUOUS DOSE ON THE NIGHT PUMP WAS 1.4 ML/H; "SO THE PATIENT RECEIVED EXCESS AMOUNT OF MEDICATION THAN PRESCRIBED." NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 667974 | CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP | PUMP, INFUSION, ENTERAL | LZH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |