FDA Adverse Event
Malfunction
Summary report: N
GEMINI PC-1
MDR report key: 223997
·
Received May 14, 1999
Report
- Report Number
- 2016493-1999-00075
- Event Type
- Malfunction
- Date Received
- May 14, 1999
- Date of Event
- April 11, 1999
- Manufacturer
- ALARIS MEDICAL SYSTEMS, INC.
- Product Code
- FRN
- Removal / Correction Number
- Z247-8/Z248-8
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
A 250 ML BAG OF MAGNESIUM WAS HUNG AND THE PUMP WAS SET UP TO INFUSE MAGNESIUM SULFATE AT A RATE OF 2 G/HR. THE VTBI WAS SET AT 202ML. NURSE STATED THAT THE PUMP INFUSED 200 ML BETWEEN 9:50 AM AND 11:30 AM. THERE WAS NO PT CONSEQUENCE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GEMINI PC-1 | INFUSION PUMP/CONTROLLER | FRN | ALARIS MEDICAL SYSTEMS, INC. | 1310 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |