BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CADD PLUS

    MDR report key: 237295 · Received August 18, 1999

    Report

    Report Number
    237295
    Event Type
    Injury
    Date Received
    August 18, 1999
    Date of Event
    July 5, 1999
    Report Date
    July 6, 1999
    Manufacturer
    SIMS DELTEC, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CADD PLUS PUMP SET FOR INTERMITTENT ADMIN OXACILLIN (36 MG QHR WITH .2KV0 TOTAL OF 150CC AND 4 DOSES IN EACH BAG). PUMP PROGRAM REVIEWED AT 4:30 PM AT 7:30 PM STAFF NURSE CALLED TO HOME FOR PUMP ALARM. PUMP FOUND IN CONTINUOUS MODE. BAG OF MEDICATION EMPTY. STAFF NURSE REMOVED PUMP AND FLUSHED PTS HICKMAN LINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CADD PLUS AMBULATORY INFUSION PUMP FRN SIMS DELTEC, INC. 5400 *

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention