BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS

    MDR report key: 2147357 · Received June 21, 2011

    Report

    Report Number
    2147357
    Event Type
    Malfunction
    Date Received
    June 21, 2011
    Date of Event
    March 30, 2011
    Report Date
    May 10, 2011
    Manufacturer
    CAREFUSION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IV PIGGY BAG (IVPB) OF MAGNESIUM SULFATE WAS HUNG AS A SECONDARY LINE USING ALARIS SMART PUMP. THE MEDICATION WAS KEYED IN AS "SECONDARY MAGNESIUM SULFATE". THE INFUSION WAS STARTED AT 1100. PATIENT WAS CHECKED AGAIN TEN MINUTES LATER AND THE IVPB OF MAGNESIUM SULFATE WAS NOTED TO BE COMPLETELY INFUSED AND THE BAG TO BE EMPTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALARIS INFUSION PUMP FRN CAREFUSION 8100 *
    2 ALARIS INFUSION PUMP FRN CAREFUSION 8000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR