BEUDAMED
    FDA Adverse Event Injury Summary report: N

    IMED IV PUMP

    MDR report key: 29213 · Received December 4, 1995

    Report

    Report Number
    29213
    Event Type
    Injury
    Date Received
    December 4, 1995
    Date of Event
    October 20, 1995
    Report Date
    November 29, 1995
    Manufacturer
    IMED CORP.
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AT 0500 PUMP WAS PROGRAMMED TO DELIVER 12CC/HR OF D10+CA GLUCONATE. AT 0530 34CC/HR HAD BEEN DELIVERED AS A BOLUS. FLUIDS STOPPED, METER VALUES = 239 (0600), 77 (0715). INFANT WAS DISCHARGED TO HOME ON 10/22/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IMED IV PUMP IV PUMP FRN IMED CORP. 965

    Patients

    Seq Age Sex Outcome Treatment
    1 10 DAY Required Intervention