BEUDAMED
    FDA Adverse Event Death Summary report: N

    ABBOTT

    MDR report key: 508668 · Received December 11, 2003

    Report

    Report Number
    508668
    Event Type
    Death
    Date Received
    December 11, 2003
    Date of Event
    November 13, 2003
    Report Date
    December 1, 2003
    Manufacturer
    *
    Product Code
    MEA
    Report Source
    User Facility report
    Reporter Location
    KY, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PUMP, INFUSION, PCA MEA * 13960-04 *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Death