FDA Adverse Event
Other
Summary report: N
BECTON DICKINSON ALARIS
MDR report key: 21911801
·
Received April 25, 2025
Report
- Report Number
- MW5169530
- Event Type
- Other
- Date Received
- April 25, 2025
- Report Date
- April 21, 2025
- Manufacturer
- BD/ CAREFUSION 303, INC.
- Product Code
- FRN
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
INVOLVED PARTY WAS SETTING UP LINES IN ANTICIPATION OF PATIENT ARRIVAL. SET UP MEDICATIONS AND THEN PUT PUMPS ON DELAY WHILE WAITING FOR PATIENT ARRIVAL. SHORTLY BEFORE PATIENT ARRIVAL, INVOLVED PARTY NOTICED THAT MILRINONE BAG WAS ALMOST EMPTY. FLUID HAD BEEN RUNNING THROUGH TUBING DESPITE CHANNEL BEING IN DELAY. COULD HAVE RESULTED IN LARGE OVERDOSE TO PATIENT. CHANNEL AND TUBING TAKEN FROM ROOM AND GIVEN TO REPORTER. ALARIS CHANNEL # IS 773794. PUMP AND TUBING CAN BE FOUND IN REPORTER'S OFFICE FOR MORNING HUDDLE. INTERNAL RL# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1428360 | BECTON DICKINSON ALARIS | PUMP, INFUSION | FRN | BD/ CAREFUSION 303, INC. | 8100 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other | MILRINONE |