BEUDAMED
    FDA Adverse Event Other Summary report: N

    GEM V/NV CKV 2SMS 20DP 20PK

    MDR report key: 423566 · Received October 15, 2002

    Report

    Report Number
    2016493-2002-00238
    Event Type
    Other
    Date Received
    October 15, 2002
    Date of Event
    October 15, 2002
    Report Date
    October 15, 2002
    Manufacturer
    ALARIS MEDICAL SYSTEMS
    Product Code
    FPA
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NURSE MANAGER CALLED TO REPORT AN OVER INFUSION ON A PT, UNKNOWN COMPROMISE, "PT NOT TOLERATING OVER DOSE WELL", NURSE SET UP INFUSION ON A STANDARD PRIMARY SET AND PIGGY-BACKED INFUSION INTO LOWER Y SITE. INFUSION WAS REGULATED BY ROLLER CLAMP, ORDERED TO BE INFUSED IN 4 HOURS, INFUSION COMPLETED IN 1 HOUR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GEM V/NV CKV 2SMS 20DP 20PK IV TUBING FPA ALARIS MEDICAL SYSTEMS 2020 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN