FDA Adverse Event Malfunction Summary report: N

ABBOTT LIFECARE PCA PUMP PLUS 2 MODEL

MDR report key: 1803026 · Received August 12, 2010

Report

Report Number
MW5017099
Event Type
Malfunction
Date Received
August 12, 2010
Date of Event
May 29, 2010
Report Date
August 12, 2010
Manufacturer
ABBOTT
Product Code
MEA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

A (B)(6) PT IN THE ACUTE CARE HOSPITAL FOR CONTINUOUS MORPHINE AND INPATIENT HOSPICE DUE TO HEART FAILURE. CASSETTE WAS SET AT 0.5 MG PER HOUR BUT RAN IN 6 HOURS FOR A TOTAL OF 30 MG. BASICALLY RUNNING AT 5.0 MG PER HOUR INSTEAD OF 0.5 MG PER HOUR. PT WAS GIVEN NARCAN, NO HARM TO THE PT, PUMP TAGGED OUT OF SERVICE. PUMP SETTING WAS VERIFIED BY MULTIPLE PEOPLE AND WAS SET CORRECTLY AT 0.5 MG PER HOUR. STAFF DID NOT DOCUMENT MODEL OR SERIAL NUMBER IN THE REPORT, SO WE HAVE NO IDEA WHICH DEVICE IT WAS -BIO MEDICAL ENGINEERING WOULD RECEIVE AND SERVICE ALL PUMPS IN THE HOSPITAL. DATES OF USE: (B)(6) 2010 - (B)(6) 2010. DIAGNOSIS OR REASON FOR USE: PCA PUMP. EVENT ABATED AFTER USE: YES. EVENT REAPPEARED AFTER REINTRODUCTION: NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ABBOTT LIFECARE PCA PUMP PLUS 2 MODEL PCA PUMP MEA ABBOTT PLUS 2

Patients

Seq Age Sex Outcome Treatment
1 83 YR Other