BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABBOTT

    MDR report key: 546078 · Received August 13, 2004

    Report

    Report Number
    MW1033025
    Event Type
    Injury
    Date Received
    August 13, 2004
    Date of Event
    July 31, 2004
    Report Date
    August 5, 2004
    Manufacturer
    HOSPIRA
    Product Code
    FRN
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ABBOTT PUMP FOR INFUSION OF HEPARIN SET AT 840 UNITS/HR, AT 1800. AT 0100 PUMP WAS RESET TO 740 UNITS, THIS SETTING WAS VERIFIED. AT 1645 THE NEXT DAY HEPARIN AGAIN STARTED AT RATE 740 (REMAINED THE SAME SETTING AS 0100). AT APPROX 1850 IT WAS NOTED THAT HEPARIN HUNG AT 1645 HAD INFUSED ENTIRELY. PT RECEIVED 3 UNITS OF BLOOD AS A RESULT OF PTT > 212. H&H AT 5.8 & 16.6. "MED NET" WAS IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PLUMB PUMP (A+ WITH MED NET) FRN HOSPIRA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention