BEUDAMED
    FDA Adverse Event Death Summary report: N

    PHARMACIA DELTEC

    MDR report key: 44892 · Received September 17, 1996

    Report

    Report Number
    56466-1996-00001
    Event Type
    Death
    Date Received
    September 17, 1996
    Date of Event
    August 24, 1996
    Report Date
    September 16, 1996
    Manufacturer
    PHARMACIA DELTEC, INC.
    Product Code
    FRN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS ON A CONTINUOUS INFUSION OF "FLORAN" PER INFUSION PUMP. PUMP AND SUPPLIES PROVIDED BY ONE PROVIDER. A DIFFERENT PROVIDER DISPENSED DRUG. THE CASSETTE WAS NOT COMPLETELY CONNECTED TO THE PUMP. PT BECAME SEVERELY SYMPTOMATIC BEFORE HUSBAND DISCOVERED THE PROBLEM. PT WAS HOSPITALIZED IN ICU. PT WAS IMPROVING FROM CRISIS WHEN SHE BECAME COMATOSE (9/7/96). PT DIED 9/8/96.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHARMACIA DELTEC CADD I FRN PHARMACIA DELTEC, INC. 5100 HFX *

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Death| H