BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDTRONIC

    MDR report key: 40779 · Received September 30, 1996

    Report

    Report Number
    2182207-1996-00006
    Event Type
    Death
    Date Received
    September 30, 1996
    Date of Event
    July 9, 1996
    Report Date
    August 7, 1996
    Manufacturer
    DRUG ADMINISTRATOR SYSTEMS
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OM 7/9/96 PUMP WAS TO BE INCREASED TO 6 MG/DAY WITH A BRIDGING DOSE OF 12.5 MG OVER 50 HRS. THE PUMP WAS MISTAKENLY PROGRAMED TO 6 MG/HR INSTEAD. ON 7/12/96 THE RATE WAS ORDERED TO INCREASE TO 8 MG/DAY AND WAS INCREASED TO 8 MG/HR IN ERROR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC Implant SYNCROMED LKK DRUG ADMINISTRATOR SYSTEMS UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Death