FDA Adverse Event Death Summary report: N

SIGMA PUMP

MDR report key: 154688 · Received March 3, 1998

Report

Report Number
154688
Event Type
Death
Date Received
March 3, 1998
Date of Event
February 21, 1998
Report Date
February 25, 1998
Manufacturer
SIGMA INTERNATIONAL
Product Code
FRN
Adverse Event
Yes
Report Source
User Facility report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DEVICE DISPENSED INACCURATE LEVEL OF MEDICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SIGMA PUMP IV PUMP FRN SIGMA INTERNATIONAL 6000+VOLUMETRIC PUMP *

Patients

Seq Age Sex Outcome Treatment
1 83 YR Death