FDA Adverse Event Malfunction Summary report: N

ALARIS PCU

MDR report key: 17808105 · Received September 22, 2023

Report

Report Number
MW5146090
Event Type
Malfunction
Date Received
September 22, 2023
Date of Event
September 11, 2023
Report Date
September 20, 2023
Manufacturer
CAREFUSION 303, INC.
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

ALARIS IV PUMP APPEARED TO BE BOLUSING PITOCIN THAT WAS SET AT A RATE OF 2 MILLIUNIT/MIN. REFERENCE REPORT: MW5146089.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1072001 ALARIS PCU PUMP, INFUSION FRN CAREFUSION 303, INC.

Patients

Seq Age Sex Outcome Treatment
1 Unknown ALARIS IV PUMP.