BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAXTER

    MDR report key: 357963 · Received October 22, 2001

    Report

    Report Number
    MW1023166
    Event Type
    Malfunction
    Date Received
    October 22, 2001
    Date of Event
    October 15, 2001
    Report Date
    October 22, 2001
    Manufacturer
    BAXER DIAGNOSTICS, INC. PRODUCT SVC MGMT
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    250CC NITROGLYCERIN WAS HUNG ON IV PUMP WITH THE SETTING 3CC/HR AT 10:30AM. AT 3PM THE AMOUNT INFUSED WAS 200CC WHEN IT SHOULD HAVE BEEN 15CC. THE PT HAD NO ILL EFFECTS, THE BLOOD PRESSURE HAD REMAINED STABLE. THE CORRECT TUBING WAS USED AND APPLIED TO THE PUMP CORRECTLY ALSO. THE PUMP WAS WITNESSED TO ADMINISTER A FEW DROPS AS SET ON THE MACHINE THEN PERIODICALLY IT WOULD FREEFLOW FOR ABOUT 5-10 SECONDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    47252 BAXTER IV PUMP FRN BAXER DIAGNOSTICS, INC. PRODUCT SVC MGMT FLOGARD 6301 *

    Patients

    Seq Age Sex Outcome Treatment
    1 98 YR Other