BEUDAMED
    FDA Adverse Event Death Summary report: N

    CAREFUSION

    MDR report key: 2489954 · Received February 17, 2012

    Report

    Report Number
    2489954
    Event Type
    Death
    Date Received
    February 17, 2012
    Date of Event
    December 13, 2012
    Report Date
    February 6, 2012
    Manufacturer
    CAREFUSION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ROUNDING ON ALARIS PUMPS AND DISCOVERED AN INSULIN INFUSION HAD RUN IN OVER 10-15 MINS. PT RECEIVED 100 UNITS WITH IN TIME FRAME. NUMBER 1. PUMP TUBING IN CORRECTLY, 2. GUARDRAILS SHOWING RATE OF 3U/HR, 3. VTBI STILL SHOWING 87MLS, 4. PRIMARY LINE, 5. NO LEAKS NOTED IN TUBING OR AT SPIKE SITE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREFUSION ALARIS PUMP FRN CAREFUSION SN 13540970 BRAIN

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Death| R