BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAXTER FLOWGARD

    MDR report key: 33315 · Received May 31, 1996

    Report

    Report Number
    33315
    Event Type
    Malfunction
    Date Received
    May 31, 1996
    Date of Event
    May 16, 1996
    Report Date
    May 31, 1996
    Manufacturer
    DADE INT'L, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AT 1900 AMINOPHYLLINE WAS STARTED PER DR'S ORDERS. PT WAS TO BE INFUSED AT 25MG/HR. AT 2100, PT WAS FOUND WITH THE AMINOPHYLLINE BAG EMPTY. THERE WERE 200 MG.S IN BAG TO START INFUSION. PT WAS THEREFORE INFUSED AT 100 MG/HR. PT DID NOT EXHIBIT ANY SIGNS OF DISTRESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER FLOWGARD VOLUMETRIC INFUSION PUMP FRN DADE INT'L, INC. 6201

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR