FDA Adverse Event
Malfunction
Summary report: N
PCA
MDR report key: 224024
·
Received May 18, 1999
Report
- Report Number
- 224024
- Event Type
- Malfunction
- Date Received
- May 18, 1999
- Date of Event
- April 15, 1999
- Report Date
- May 18, 1999
- Manufacturer
- ABBOTT LABS - HPD
- Product Code
- MEA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DIAGNOSIS TAH; ABBOTT PCA PUMP PROGRAMMED TO DELIVER A DEMEROL CONCENTRATION OF 10MG ML; DEMEROL MFG BY ABBOTT; PUMP SETTING WAS 100 MG Q 3 HR PRN; 15 MG/HR CONTINUOUS; PUMP SOUNDED OCCLUSION ALARM; OCCLUSION CLEARED; PUMPED TURNED OFF; PUMP TURNED BACK ON AND REPROGRAMMED; PUMP STARTED; PUMP ADMINISTERED WRONG DOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PCA | PAIN CONTROL ANALGESIA PUMP | MEA | ABBOTT LABS - HPD | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Other |