BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 315751 · Received February 6, 2001

    Report

    Report Number
    315751
    Event Type
    Other
    Date Received
    February 6, 2001
    Date of Event
    March 10, 2000
    Report Date
    March 16, 2000
    Manufacturer
    ROSS LABORATORIES, QUALITY ASSURANCE AREA
    Product Code
    FPD
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT RECEIVING TUBE FEEDING GLUCERNA. PT'S SKIN TURNED GREEN TINT. SKIN TONE TURNED STRONG GREEN COLOR. URINE AND ET TUBE SECRETIONS GREEN. BROCHURE INDICATES POSSIBLE COLORING OF SKIN/BODY FLUIDS. DOES NOT INDICATE DEPTH OF COLOR OR NOT TO UTILIZE ON PTS WITH LIVER FAILURE. PT WAS TERMINAL AND EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4441 * * FPD ROSS LABORATORIES, QUALITY ASSURANCE AREA * FAN 3071

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Other