BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDPRO ELASTOMERIC INFUSION DEVICE

    MDR report key: 1931340 · Received December 14, 2010

    Report

    Report Number
    MW5018591
    Event Type
    Other
    Date Received
    December 14, 2010
    Manufacturer
    MEDPRO
    Product Code
    MEB
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    INFUSION DEVICE UTILIZED TO DELIVER VANCOMYCIN 2.5GM/NS 240ML CONTINUOUSLY AT 10ML/HR OVER 24 HOURS. MEDICATION INFUSED IN OVER 18 HOURS INSTEAD OF 24 HOURS PER PT'S REPORT. (SAME PT REPORTED IN (B)(4) ).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDPRO ELASTOMERIC INFUSION DEVICE ELASTOMERIC INFUSION DEVICE 10ML/HR 270ML MEB MEDPRO AO100-270

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR