BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ABBOTT PLUM

    MDR report key: 607980 · Received May 16, 2005

    Report

    Report Number
    MW4003935
    Event Type
    Malfunction
    Date Received
    May 16, 2005
    Date of Event
    April 17, 2005
    Report Date
    April 25, 2005
    Manufacturer
    ABBOTT / HOSPICE
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CARDIZEM DRIP STARTED FOR ONSET OF A FIB, PER DR'S ORDERS AT 0200, (100 MGM IN 100 CC/1 MGM PER CC) TO INFUSE AT 10 MGM HOURLY. THE DRIP WAS STARTED AT 0235, VTBI SET AT 86 AND RATE SET AT 10. AT 0500, THE NURSE HEARD THE PUMP ALARM AND WHEN IT WAS CHECKED, THE VOL. HAD BEEN INFUSED AND THE INFUSION WAS COMPLETE. THE RATE WAS CHECKED ON THE PUMP AT THIS TIME AND IT SHOWED 10.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PLUM INFUSION PUMP FRN ABBOTT / HOSPICE XLD *

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other