FDA Adverse Event Other Summary report: N

PLUM A+

MDR report key: 524399 · Received February 12, 2004

Report

Report Number
2921482-2004-00064
Event Type
Other
Date Received
February 12, 2004
Date of Event
January 12, 2004
Report Date
January 21, 2004
Manufacturer
ABBOTT LABS
Product Code
FPA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

UNDERDELIVERY. THE CUSTOMER CONTACT INDICATED THAT THE EVENT WAS THE RESULT OF AN OPERATOR ERROR IN PROGRAMMING THE DEVICE. IN 2004 AT 1900, THE PUMP WAS PROGRAMMED TO DELIVER 25000 UNITS OF HEPARIN IN 250ML AT A RATE OF 0.1ML/HR INSTEAD OF THE INTENDED RATE OF 11 ML/HR. AFTER AN UNSPECIFIED AMOUNT OF TIME, THE ERROR WAS NOTED AND THE THERAPY WAS RESUMED USING A REPLACEMENT DEVICE. THERE WERE NO REPORTED ADVERSE PATIENT EFFECTS AND NO MEDICAL INTERVENTIONS WERE REQUIRED. THOUGH REQUESTED, NO ADDITIONAL INFO WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PLUM A+ INFUSION PUMP FPA ABBOTT LABS NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other PLUM A+ SOFTWARE MODULE, LIST# 12393.