BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PLUM PUMP

    MDR report key: 2843520 · Received September 25, 2012

    Report

    Report Number
    2843520
    Event Type
    Malfunction
    Date Received
    September 25, 2012
    Date of Event
    February 13, 2012
    Report Date
    September 25, 2012
    Manufacturer
    HOSPIRA
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PUMP RATE SET TO INFUSE AT 18 CC/HOUR; PUMP SETTINGS REVIEWED AND NOTED INFUSION RATE AT 90 CC/HOUR; BAG AND TUBING CHANGED, PUMP ALARMED CASSETTE FAILURE, AND PUMP SHUT OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUM PUMP PUMP, INFUSION FRN HOSPIRA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR CARDIAC DRUGS