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 |