BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SIMS DELTEC INC

    MDR report key: 409831 · Received August 7, 2002

    Report

    Report Number
    MW1025797
    Event Type
    Injury
    Date Received
    August 7, 2002
    Date of Event
    July 17, 2002
    Report Date
    August 1, 2002
    Manufacturer
    SIMS DELTEC, INC.
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    UT, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    INFUSING MAGNESIUM SULFATE RIDER SODIUM CHLORIDE 0.9% AT A RATE OF 50 ML/HR. OVER-INFUSING DETECTED BY BURN TRAUMA INTENSIVE CARE UNIT NURSE. INFUSION PUMP AND TUBING SET WAS REMOVED FROM THE PT AND SENT TO IN-HOUSE BIOMEDICAL ENGINEERING FOR INVESTIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMS DELTEC INC TUBING SET (FOR USE WITH THE 3M 3000 INFUSION PUMP) FPA SIMS DELTEC, INC. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention