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