FDA Adverse Event Death Summary report: N

OMNI PUMP - ABBOTT

MDR report key: 41048 · Received September 25, 1996

Report

Report Number
41048
Event Type
Death
Date Received
September 25, 1996
Date of Event
September 13, 1996
Report Date
September 18, 1996
Manufacturer
ABBOTT LABS
Product Code
FRN
Report Source
User Facility report
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT WAS POST-OP. HAD HEPARIN RUNNING THRU PUMP. PUMP REGULATED AND FAILED TO FUNCTION. PT RECEIVED TOO MUCH HEPARIN NECESSITATING RETURN TO OR TO EVACUATE CLOTS. RECEIVED 250CC IN 7HRS INSTEAD 21CC/7HR. PER CALL TO RPTR: PROCEDURE WAS FEM POP BYPASS. FACILITY IS OF THE OPINION THAT CLOTTING WAS RESULT OF HYPERINFUSION OF HEPARIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OMNI PUMP - ABBOTT PUMP 4000 PLUS FRN ABBOTT LABS 40051-04-08 *

Patients

Seq Age Sex Outcome Treatment
1 * Death| R