FDA Adverse Event Death Summary report: N

MICRONIX COMPOUNDER/BAXTER

MDR report key: 500616 · Received December 12, 2003

Report

Report Number
500616
Event Type
Death
Date Received
December 12, 2003
Date of Event
October 28, 2003
Report Date
December 11, 2003
Manufacturer
BAXTER HEALTHCARE CORP, MEDICATION DELIVERY, CLINTEC NUTRITION.
Product Code
LHI
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IL, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

VERY PREMATURE PT RECEIVING HYPERALIMENTATION. PT SODIUM LEVELS WERE NOTED TO BE ELEVATED. THEY REQUIRED AN EXCHANGE TRANSFUSION. THEY DIED 3 DAYS LATER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRONIX COMPOUNDER/BAXTER * LHI BAXTER HEALTHCARE CORP, MEDICATION DELIVERY, CLINTEC NUTRITION. * *

Patients

Seq Age Sex Outcome Treatment
1 10 DAY Death| R