FDA Adverse Event Injury Summary report: N

CAREFUSION

MDR report key: 6194069 · Received December 20, 2016

Report

Report Number
MW5066828
Event Type
Injury
Date Received
December 20, 2016
Report Date
December 20, 2016
Manufacturer
CAREFUSION
Product Code
FRN
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT WAS TRANSFERRED TO ED AT (B)(6) FROM AN OUTLYING HOSPITAL IN DIC WITH SEPTIC SHOCK ON (B)(6) 2016. BABY WAS (B)(6) BORN VIA NSVD TO GBST MOTHER. BABY WAS GIVEN ANTIBIOTICS AND PLACED ON ECMO ON (B)(6) 2016. PT WAS PLACED ON TPN VIA CAREFUSION ALARIS PUMP. THE PT RECEIVED 364 ML OVER 3 HOURS INSTEAD OF 24 HOURS. THE CHARGE NURSE AND THE NURSE EDUCATOR CHECKED THE PUMP AND IT APPEARED TO BE PROGRAMMED APPROPRIATELY FOR 1 ML PER HOUR. THE CAUSE OF THE PROBLEM REMAINS UNKNOWN AT THIS TIME. A REPORT HAS BEEN REQUESTED FROM THE COMPANY AND THE PUMP, ETC HAVE BEEN SENT TO ECRI FOR THE EVALUATION. THE PT DID EXPIRE BUT IT IS NOT THOUGHT TO BE ATTRIBUTABLE TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
839586 CAREFUSION IV PUMP FRN CAREFUSION BRAIN PCU-8015
839587 CAREFUSION IV PUMP FRN CAREFUSION PUMP LVP-8120

Patients

Seq Age Sex Outcome Treatment
1 Other