FDA Adverse Event Summary report: N

Q CORE SAPPHIRE EPIDURAL INFUSION PUMP

MDR report key: 4790328 · Received May 21, 2015

Report

Report Number
3010293992-2015-00031
Date Received
May 21, 2015
Date of Event
May 4, 2015
Report Date
May 6, 2015
Manufacturer
Q CORE MEDICAL LTD
Product Code
FRN
PMA / PMN Number
K123049
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

EVENT AS DESCRIBED BY THE USER: "DR (B)(6) ON (B)(6) 2015 INDICATED THAT THE ANESTHESIA GROUP USED UPDATED SAPPHIRE EPIDURAL PUMPS (RECONFIGURED WITH NEW CONFIGURATION SETTINGS RECOMMENDED ON (B)(6) 2015 AND HAD UPDATED SOFTWARE ON (B)(6) 2015 OVER THE WEEKEND AND ARE CONTINUING TO HAVE BAGS RUN DRY BEFORE VTBI REACHES ZERO. HE STATED THAT (B)(6)CONCERN IS NOW THAT THERE IS A "SERIOUS THREAT TO PT SAFETY" AS THESE PUMPS ARE DELIVERING AN INCORRECT DOSE. THIS CONCERN IS WITH THEIR 100 ML BAGS OF MARCAIN / 2 MCG / 1 ML FENTANYL MEDICATION BAGS COMPOUNDED BY (B)(6); THE 150 ML BAGS OF MEPERIDINE ARE PROGRAMMED TO RUN DRY."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
331444 Q CORE SAPPHIRE EPIDURAL INFUSION PUMP FRN Q CORE MEDICAL LTD EPIDURAL PUMP

Patients

Seq Age Sex Outcome Treatment
1