BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOSPIRA PLUM A+ INFUSION

    MDR report key: 3050293 · Received April 4, 2013

    Report

    Report Number
    MW5029683
    Event Type
    Malfunction
    Date Received
    April 4, 2013
    Date of Event
    April 1, 2013
    Report Date
    April 4, 2013
    Manufacturer
    HOSPIRA
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PLUM A+ INFUSION PUMP FAILED WHILE DOPAMINE WAS BEING INFUSED. PATIENT HAD SHORT EPISODE OF HYPOTENSION WHILE THE PUMP WAS EXCHANGED. ERROR (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    137529 HOSPIRA PLUM A+ INFUSION INFUSION PUMP FRN HOSPIRA PLUM A+

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR