FDA Adverse Event Death Summary report: N

AP II PUMP

MDR report key: 325548 · Received April 4, 2001

Report

Report Number
6000001-2001-00145
Event Type
Death
Date Received
April 4, 2001
Date of Event
January 30, 2001
Report Date
March 29, 2001
Manufacturer
BAXTER HEALTHCARE (SG)
Product Code
FRN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ACCOUNT REPORTS POST-OP PT EXPIRED WHILE RECEIVING INFUSION OF MORPHINE VIA APII PUMP. THE REPORTER STATED THE PUMP WAS PROGRAMMED TO DELIVER A PCA DOSE OF 1ML EVERY SIX MINUTES, WITH A CONCENTRATION OF 1MG/ML. THE PT HAD BEEN RECEIVING THERAPY FOR APPROXIMATELY 11-1/2 HOURS, WHEN THE PT'S SPOUSE FOUND PT DECEASED. THE REPORTING FACILITY STATES "THE PT'S BLOOD SERUM LEVELS WERE CHECKED AND THEY WERE OKAY." THE REPORTER STATED THEY DID NOT FEEL THE PUMP MALFUNCTIONED. THE REPORTER WAS UNABLE TO PROVIDE ADD'L INFO REGARDING THE INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
14842 AP II PUMP ANESTHESIA PUMPS FRN BAXTER HEALTHCARE (SG) NA NA

Patients

Seq Age Sex Outcome Treatment
1 66 YR Death