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 |