FDA Adverse Event Death Summary report: N

INFUSION PUMP

MDR report key: 17880 · Received October 26, 1994

Report

Report Number
17880
Event Type
Death
Date Received
October 26, 1994
Date of Event
October 16, 1994
Report Date
October 26, 1994
Manufacturer
BAXTER HEALTHCARE CORP.
Product Code
FRN
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
NJ, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

PT ADMITTED TO ICU 10/15/94 IN ADVANCED STAGE OF LIVER AND RENAL FAILURE, PLACED IN "COMFORT CARE" (NO CODE) STATUS. A: 3.30 PM ON 10/16/74 IV 100 MG MORPHINE STARTED AT 2 CC/HR. VOLUME SET TO INFUSE 100 CC. AT 6:00 PM MORPHINE BAG FOUND TO BE EMPTY (ENTIRE 100 CC WAS INFUSED). PT EXPIRED 7:01 PM. PUMP WAS IMPOUNDED BY COUNTY MEDICAL EXAMINER AND WAS SUBSEQUENTLY SENT FOR EVALUATION. INITIAL TOXICOLOGY REPORTS INDICATED ELEVATED LEVELS OF MORPHINE IN PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE CORP. 6301

Patients

Seq Age Sex Outcome Treatment
1 53 YR Death