BEUDAMED
    FDA Adverse Event Summary report: N

    VERIFUSE PUMP

    MDR report key: 18530 · Received December 22, 1994

    Report

    Report Number
    MW1004549
    Date Received
    December 22, 1994
    Date of Event
    December 13, 1994
    Report Date
    December 15, 1994
    Manufacturer
    BLOCK MEDICAL, INC.
    Product Code
    FRN
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ON 12/13/94 PUMP WAS IN PLACE AT ONE OF RPTR'S SNF CONTRACTED HOMES DELIVERING MORPHINE TO A PT. PT BECAME VERY SEDATED TO THE POINT OF REQUIRING NARCAN. NURSE AT FACILITY CLAIMS THEY ATTEMPTED TO "TEST" THE PUMP AND IS CONVINCED PUMP WAS DELIVERING IN EXCESS OF THE PROGRAMMED RATE. UPON RETURN OF PUMP RPTR ATTEMPTED TO TEST PUMP BEFORE SENDING IT BACK TO PUMP RENTAL COMPANY AND THE PUMP REGISTERED A "MALFUNCTION" COMMAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERIFUSE PUMP FRN BLOCK MEDICAL, INC. V001500-801

    Patients

    Seq Age Sex Outcome Treatment
    1 *