FDA Adverse Event
Death
Summary report: N
MS16A SYRINGE DRIVER
MDR report key: 508302
·
Received January 23, 2004
Report
- Report Number
- 9612511-2004-00001
- Event Type
- Death
- Date Received
- January 23, 2004
- Date of Event
- April 10, 2002
- Report Date
- January 23, 2004
- Manufacturer
- GRASEBY MEDICAL LTD.
- Product Code
- FRN
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
SYRINGE DRIVER COMMENCED INFUSION OF DIAMORPHINE 20MG., CYCLIZINE 150MG AND MEDAZOLAM 5 MG. AT 15.15. AT 19.15 DRIVER WAS FOUND TO BE RUNNING TOO FAST. 18MM HAD BEEN DISPENSED IN 4 HRS INSTEAD OF 2MM/HR. PUMP STOPPED. DR. INFORMED. PT CHECKED AND STABLE. EVEN THOUGH THERE WAS A PT DEATH CO DOES NOT HAVE ANY DETAILS. REP AT THE HOSP SAID THAT THE PT DEATH IS NOT ATTRIBUTED TO THE ALLEGED OVERINFUSION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MS16A SYRINGE DRIVER | SYRINGE DRIVER | FRN | GRASEBY MEDICAL LTD. | MS16A | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Death |