BEUDAMED
    FDA Adverse Event Other Summary report: N

    ABBOTT

    MDR report key: 502623 · Received July 12, 2003

    Report

    Report Number
    502623
    Event Type
    Other
    Date Received
    July 12, 2003
    Date of Event
    July 9, 2003
    Report Date
    July 11, 2003
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    FRN
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FAULTY PUMP INFUSED 100 MG OF IV DILTIAZEM IN ONE HOUR - PUMP SET AT 10CC/HR. IN THE EMERGENCY ROOM PRIOR TO TRANSFER TO MEDICAL WARD ONE HOUR LATER IV PUMP BEEPING INFUSION FINISHED. PARAMETER SET AT 10CC/HR WITH 90CC VOLUME TO BE INFUSED ON SCREEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT TRIPLE I.V. PUMP FRN ABBOTT LABORATORIES XL3 *

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other