FDA Adverse Event
Death
Summary report: N
MS26 SYRING DRIVER
MDR report key: 487873
·
Received October 8, 2003
Report
- Report Number
- 9612511-2003-00003
- Event Type
- Death
- Date Received
- October 8, 2003
- Report Date
- September 9, 2003
- Manufacturer
- GRASEBY MEDICAL LTD.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
UNIT FORWARDED FROM POLICE SERVICE FOR TESTING. DEVICE WAS USED IN A NURSING HOME UP UNTIL AND INCLUDING THE DEATH OF PATIENT. PATIENT HAD BEEN PRESCRIBED MORPHINE BY ATTENDING GP TO BE ADMINISTERED VIA SYRINGE DRIVER. REPORTED PATIENT RECEIVED BOLUS OF MORPHINE AND ALLEGEDLY DIED AS A RESULT. REPORT SOURCED FROM POLICE SERVICE. DEVICE UNDER INVESTIGATION AND DEVICE IS UNLIKELY TO BE RETURNED TO MANUFACTURER FOR EVALUATION/TESTING AS THEY ARE NOW THE PROPERTY OF POLICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MS26 SYRING DRIVER | SYRINGE DRIVER | FRN | GRASEBY MEDICAL LTD. | MS26 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Death |