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 |