BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAREFUSION

    MDR report key: 2497849 · Received February 17, 2012

    Report

    Report Number
    2497849
    Event Type
    Injury
    Date Received
    February 17, 2012
    Date of Event
    January 28, 2012
    Report Date
    February 6, 2012
    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

    PATIENT WAS PLACED ON HEPARIN DRIP IN EMERGENCY ROOM AT 21 ML/HR. IN ICU REWEIGHED AND DOWN 20 ML/HR BY 2 RN'S. SHORTLY AFTER DISCOVERED BAG WAS EMPTY. CHARGE AND RN STATE PUMP SHOWED INFUSION RATE ON SCREEN AT 20. VTB WAS STILL GREATER THAN 400 MLS. TUBING ON TOP OF PUMP WAS SLIGHTLY SET WRONG (TO HIGH).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAREFUSION ALARIS PUMP FRN 13540794

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Required Intervention