FDA Adverse Event Death Summary report: N

PLUM INFUSION PUMP

MDR report key: 537410 · Received July 30, 2004

Report

Report Number
537410
Event Type
Death
Date Received
July 30, 2004
Date of Event
July 14, 2004
Report Date
July 26, 2004
Manufacturer
ABBOTT LABORATORIES
Product Code
FRN
Report Source
User Facility report
Reporter Location
MO, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

TPN WAS INFUSING AT 60CC/HR. ON A TRIPLE PLUM PUMP. THE PUMP ALARMED "AIR IN LINE" AND THE NURSE FOUND THE PT TO BE EXPERIENCING A GRAND MAL SEIZURE AT "7/14 0035" THE PUMP SETTINGS WERE FOUND TO BE VOLUME TO BE INFUSED -482CC TOTAL VOLUME INFUSED. 1841CC RATE 1999/1HR. THE 2ND PUMP WAS EMPTY AND OFF. THE 3RD PUMP HAD 1/2 NS C 25CC/1/HR. THE PT WAS RESUSCITATED BUT DIED 7/14/04 AT 0845.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PLUM INFUSION PUMP TRIPLE PUMP FRN ABBOTT LABORATORIES * *

Patients

Seq Age Sex Outcome Treatment
1 65 YR Death TPN - 1540CC BAG, 1/2 NS - LITERBAG.