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