FDA Adverse Event Malfunction Summary report: N

PROVIDER PAIN MANAGEMENT PUMP

MDR report key: 335522 · Received May 25, 2001

Report

Report Number
2024064-2001-00043
Event Type
Malfunction
Date Received
May 25, 2001
Date of Event
March 25, 2001
Report Date
April 26, 2001
Manufacturer
ABBOTT LABORATORIES
Product Code
FRN
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REPORT RECEIVED FROM ABBOTT INT'L AFFILIATE (ABBOTT FRANCE) OF AN OVER-DELIVERY. THE REPORT STATES: "AFTER SURGERY (HYSTERECTOMY) THE PUMP WAS USED WITH MORPHINE IN BOLUS MODE. THE PUMP DIDN'T STOP INFUSING AFTER INFUSION OF 1MG BOLUS. THE PT CALLED THE NURSE AND THE PUMP HAS BEEN DISCONNECTED. THE PT DID NOT EXPERIENCE ANY ADVERSE EVENT." THE ABBOTT INT'L AFFILIATE WAS QUERIED FOR FURTHER INFO. IT WAS REPORTED THAT THE PUMP WAS PROGRAMMED TO INFUSE 1MG/BOLUS DOSE. NO MEDICAL INTERVENTION WAS REQUIRED FOR THE PT. THERE WAS NO REPORTED ADVERSE EVENT WITH THE PT. NO ADD'L NFO HAS BEEN RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
24576 PROVIDER PAIN MANAGEMENT PUMP INFUSION PUMP FRN ABBOTT LABORATORIES NA NA

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other