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