FDA Adverse Event Death Summary report: N

SPECTRUM IQ IV PUMP

MDR report key: 11920846 · Received June 1, 2021

Report

Report Number
MW5101641
Event Type
Death
Date Received
June 1, 2021
Date of Event
April 27, 2021
Report Date
May 27, 2021
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
FRN
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
PR, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

DILTIAZEM 125 MG/100 ML 0.9%NS AT 5 ML/HR WAS ADMINISTERED IN A 1HR AND 30MIN PERIOD OF TIME INSTEAD OF 20 HOURS, POSSIBLY DUE TO MISTAKE IN IV LINE SWITCHING. FDA SAFETY REPORT ID#: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
807566 SPECTRUM IQ IV PUMP PUMP, INFUSION FRN BAXTER HEALTHCARE CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 81 YR Death