BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOSPIRA PLUM XL

    MDR report key: 2030845 · Received March 22, 2011

    Report

    Report Number
    MW5019927
    Event Type
    Malfunction
    Date Received
    March 22, 2011
    Date of Event
    February 16, 2011
    Report Date
    March 22, 2011
    Manufacturer
    HOSPIRA, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STARTED IV 1 GRAM TO IV DRIP PROGRAMMED TO RUN IN OVER ONE HOUR. SET TO RUN AT 250 ML/HR. RETURNED TO ROOM 15 MINUTES LATER AND PUMP WAS RUNNING AT 500 ML/HR. CHARGE RN CALLED TO ROOM TO VERIFY MALFUNCTION. EVEN THOUGH PUMP SET TO RUN AT 250 ML/HR IT RUNS AT 500 ML/HR. PUMP WAS REMOVED FROM SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPIRA PLUM XL INFUSION PUMP FRN HOSPIRA, INC. PLUM XL

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR