BEUDAMED
    FDA Adverse Event Other Summary report: N

    VERIFUSE INFUSION PUMP

    MDR report key: 14348 · Received June 27, 1994

    Report

    Report Number
    MW1002603
    Event Type
    Other
    Date Received
    June 27, 1994
    Date of Event
    May 26, 1994
    Report Date
    May 31, 1994
    Manufacturer
    BLOCK MEDICAL, INC.
    Product Code
    MEA
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT SENT HOME ON MORPHINE SULFATE SC 8 MG/HR CONTINUOUS WITH 8 MG BOLUS EVERY 10 MINUTES MAXIMUM 6 BOLUSES PER HR AS NEEDED. PT WAS SENT HOME AT 3 PM. PT ARRIVED HOME AT 6 PM, WITH AIR-IN-LINE DETECTOR ALARMING. BOLUS WAS GIVEN, REMOVING AIR AND STOPPING ALARM. AT 9 PM, THE AIR-IN-LINE DETECTOR WAS ARLARMING. THE NURSE DEACTIVATED THE AIR-IN-LINE DETECTOR. THE OCCLUSION ALARM WENT OFF WHEN THE BOLUS DOSE WAS GIVEN, ONCE ON 5/26/94, AND TWICE ON 5/27/94. THE PT REQUIRED INSERTION OF A PERIPHERAL LINE. ON 5/31/94, AFTER INSERTION OF PERIPHERAL LINE AND DEACTIVATION OF THE AIR-IN-LINE DETECTOR, THE PT WAS EXPERIENCING NO PROBLEMS. RPTR FEELS THE AIR-IN-LINE DETECTOR IS TOO SENSITIVE, CAUSING DEACTIVATION, THE PUMP IS NOT RECOMMENDED FOR SC DOSING. THE TUBING WAS PROPERLY PLACED ON THE PUMP AIR-IN-LINE DETECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERIFUSE INFUSION PUMP INFUSION PUMP MEA BLOCK MEDICAL, INC. V001500, VERISON 4.11

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other