BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS 8100

    MDR report key: 3901816 · Received June 24, 2014

    Report

    Report Number
    MW5036875
    Event Type
    Malfunction
    Date Received
    June 24, 2014
    Date of Event
    February 11, 2014
    Report Date
    June 23, 2014
    Manufacturer
    CAREFUSION
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THIS PT HAD AN ORDER FOR CONTINUOUS PROTONIX DRIP (80 MILLIGRAMS IN D5W 250 MILLILITERS). THE ORDER DOES WAS FOR 8 MILLIGRAMS PER HOUR AND INFUSION RATE WAS 25 MILLILITERS PER HOUR. THE RN PROGRAMMED THE PUMP AS ORDERED AND NOTED INFUSION RATE AT 25 MILLILITERS ON THE PUMP WINDOW. IN LESS THAN ONE HOUR, THE PROTONIX BAG AS COMPLETELY EMPTY. THE PUMP READ THAT THE INFUSION RATE WAS STILL PROGRAMMED (25 MILLILITERS/HR), BUT NO MEDICATION WAS LEFT IN THE BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    368447 ALARIS 8100 IV PUMP FPA CAREFUSION

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR IV INFUSION RATE OF 10 MILLITERS PER HR| OCTREOTIDE 500 MG IN D5W 99 MILLILITERS