BEUDAMED
    FDA Adverse Event Death Summary report: N

    SIGMA 6000

    MDR report key: 448321 · Received March 18, 2003

    Report

    Report Number
    MW1027885
    Event Type
    Death
    Date Received
    March 18, 2003
    Date of Event
    April 8, 2001
    Report Date
    March 18, 2003
    Manufacturer
    ABBOTT LAB
    Product Code
    FRN
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PT CAUGHT ON FIRE AND BURNED TO DEATH WHILE RECEIVING UNKNOWN IV MEDICATION WHILE AN INPATIENT. PARAMEDICS SAID THE IV TUBING AND HEPLOCK WAS MELTED INTO THEIR WRIST. PT WAS TRANSFERRED TO ANOTHER HOSPITAL TO A BURN UNIT, WHERE THEY EXPIRED LATER THAT NIGHT. CALLER STATES THAT THE BRAND NAME IS "PROBABLY CORRECT".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIGMA 6000 INFUSION PUMP FRN ABBOTT LAB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Death