BEUDAMED
    FDA Adverse Event Death Summary report: N

    COLLEAGUE 3CX VOLUMETRIC INFUSION PUMP

    MDR report key: 575495 · Received February 22, 2005

    Report

    Report Number
    6000001-2005-00462
    Event Type
    Death
    Date Received
    February 22, 2005
    Date of Event
    September 12, 2004
    Report Date
    January 31, 2005
    Manufacturer
    BAXTER HEALTHCARE PTE. LTD.
    Product Code
    FRN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    "VERY III PT ON BAXTER PUMP WHICH ALARMED DUE TO MASSIVE SYSTEM FAILURE. HAD BRADYCARDIA, SEVER HYPOTENSION, GIVEN EPI RESPONDED BRIEFLY THEN ASYSTOLE. BECAME DO NOT RESUSCITATE".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COLLEAGUE 3CX VOLUMETRIC INFUSION PUMP INFUSION PUMP FRN BAXTER HEALTHCARE PTE. LTD. COLLEAGUE 3CX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death