FDA Adverse Event Injury Summary report: N

PATROL PUMP

MDR report key: 2063733 · Received April 14, 2011

Report

Report Number
1527460-2011-00029
Event Type
Injury
Date Received
April 14, 2011
Date of Event
March 1, 2011
Report Date
March 16, 2011
Manufacturer
ABBOTT NUTRITION
Product Code
LZH
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE DEVICE REPORTED, LIST NUMBER 52034 IS AN ABBOTT PRODUCT THAT IS MARKETED INTERNATIONALLY WHICH IS THE SAME OR SIMILAR TO A DEVICE, LIST NUMBER 52036, THAT IS MARKETED DOMESTICALLY. ABBOTT NUTRITION STANDARD PROCEDURE INCLUDES ATTEMPTING TO OBTAIN ALL REQUIRED INFO FROM THE SOURCE.

Description of Event or Problem · 1

SAME CASE AS 1527460-2011-00028 AND 1527460-2011-00030. THREE PUMPS PRESENTED THE SAME PROBLEM. THEY INDICATED LOW BATTERY AND NO FLOW ON THE DISPLAY EVEN THOUGH THEY WERE PLUGGED IN. AT THE TIME OF EVENT, THE SET AND THE TUBE WERE CHECKED AND HAD NO PROBLEM. THE HOSPITAL TESTED THE ELECTRICAL OUTLET WITH OTHER EQUIPMENT AND VERIFIED THERE WASN'T ANY PROBLEM WITH ELECTRICAL GRID. THE PROBLEM WAS WITH THE PUMPS. ONE PT WHO WAS HOSPITALIZED AT CARDIAC ICU DID NOT RECEIVE FEED FOR ALMOST 24 HOURS. THE FIRST PUMP WAS CONNECTED TO PT ON (B)(6) 2011 AND THE PROBLEM WAS VERIFIED DURING THE NIGHT. IN TOTAL, THE PT USED THREE PUMPS. THERE WAS NO BACK-UP PUMP FOR REPLACEMENT, SO THE FEED WAS NOT INFUSED BY OTHER MEANS, AND THE REPORTER DID NOT KNOW THE REASON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PATROL PUMP LZH, PUMP, INFUSION, ENTERAL LZH ABBOTT NUTRITION 52034

Patients

Seq Age Sex Outcome Treatment
1 Other