BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 450604 · Received March 21, 2003

    Report

    Report Number
    450604
    Event Type
    Other
    Date Received
    March 21, 2003
    Date of Event
    January 22, 2003
    Report Date
    February 24, 2003
    Manufacturer
    MEDICATION DELIVERY PROD.
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    HEPARIN BEING DELIVERED VIA INFUSION PUMP. PUMP ALARMED FOR EMPTY BAG. RATE ERROR DISCOVERED 35 MINUTES LATER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * INFUSION PUMP FRN MEDICATION DELIVERY PROD. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other