FDA Adverse Event Injury Summary report: N

CME BODYGUARD 323 INFUSION PUMP

MDR report key: 2261476 · Received September 16, 2011

Report

Report Number
MW5022322
Event Type
Injury
Date Received
September 16, 2011
Date of Event
September 12, 2011
Report Date
September 16, 2011
Manufacturer
CME AMERICA
Product Code
MEA
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CME BODYGUARD 323 INFUSION PUMP, DIALUDID CONCENTRATION: 10MG/ML 50ML VOLUME. PUMP PROGRAMMED AT A RATE OF 0.5MG/HR W/BOLUS DOSE OF 0.5MG G10MIN. AFTER 2 HR PUMP DELIVERED 2MG INSTEAD OF 1MG TOTAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CME BODYGUARD 323 INFUSION PUMP INFUSION PUMP MEA CME AMERICA 323 61486

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening