BEUDAMED
    FDA Adverse Event Death Summary report: N

    BAXTER CLINTEC

    MDR report key: 381913 · Received March 12, 2002

    Report

    Report Number
    MW1024346
    Event Type
    Death
    Date Received
    March 12, 2002
    Date of Event
    February 12, 2002
    Report Date
    February 22, 2002
    Manufacturer
    BAXTER CLINTEC NUTRITION
    Product Code
    LHI
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PHARMACIST WAS COMPOUNDING DIALYSATE SOLUTION ON BAXTER CLINTEC AUTO-MIX/MICRO-MIX. BASED SOLUTION WAS FILLED ON AUTO-MIX, BUT PHARMACIST BECAME DISTRACTED, DID NOT TRANSFER BAG TO MICRO-MIX, AND SENT BAG OUT WITHOUT ADDING ELECTROLYTES. MULTI-TASK OPERATING SYSTEM CONTROL SCREEN WAS IGNORED AND SUBSEQUENTLY CANCELLED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER CLINTEC MICROMIX COMPOUNDER LHI BAXTER CLINTEC NUTRITION 2M8290L *

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Death