BEUDAMED
    FDA Adverse Event Death Summary report: N

    ABBOTT

    MDR report key: 163402 · Received April 20, 1998

    Report

    Report Number
    MW4002187
    Event Type
    Death
    Date Received
    April 20, 1998
    Date of Event
    April 17, 1998
    Report Date
    April 20, 1998
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    FPA
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT PLACED ON BOTH AN ABBOTT LIFECARE 5000 INFUSION SYSTEM & A DATASCOPE PASSPORT VITAL SIGN MONITOR, PT APPARENTLY CONNECTED BLOOD PRESSURE INFLATION TUBING TO IV MEDICATION PORT. PT RECEIVED AN UNKNOWN AMOUNT OF AIR VIA DATASCOPE & LIFECARE DEVICES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PRIMARY IV PUMP FPA ABBOTT LABORATORIES NO.1646 *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Death