BEUDAMED
    FDA Adverse Event Other Summary report: N

    ASIC MSIII MULTI CHANNEL INFUSION PUMP

    MDR report key: 427719 · Received November 8, 2002

    Report

    Report Number
    2016493-2002-00265
    Event Type
    Other
    Date Received
    November 8, 2002
    Date of Event
    September 26, 2002
    Report Date
    November 8, 2002
    Manufacturer
    ALARIS MEDICAL SYSTEMS
    Product Code
    FRN
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    OVERINFUSION OF BLOOD, VOLUME SET AT 35CC/HR AFTER 1 HR, VI READ 68CC, 250 CC INFUSED FROM BAG WITH NO SPILL NOTED, NO ERROR CODES OR ALARMS NOTED BY STAFF. UNIT EVALUATED IN BIO MED AND ACCURACY TESTING WAS WITHIN LIMITS, BIO MED REQUESTING ALARIS EVALUATE ALSO. PATIENT HAD NO INJURY OR COMPROMISE, NO OTHER FLUID OR MEDICATION INFUSED AT THE SAME TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASIC MSIII MULTI CHANNEL INFUSION PUMP INFUSION PUMP FRN ALARIS MEDICAL SYSTEMS 2865 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other