BEUDAMED
    FDA Adverse Event Death Summary report: N

    HOSPIRA PLUM A

    MDR report key: 672929 · Received February 6, 2006

    Report

    Report Number
    672929
    Event Type
    Death
    Date Received
    February 6, 2006
    Date of Event
    January 13, 2006
    Report Date
    February 2, 2006
    Manufacturer
    HOSPIRA WORLDWIDE, INC
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS S/P CABG AND MITRAL VALVE REPAIR. SHE WAS ON THREE DRIPS, INCLUDING MILRINONE. THE INFUSION PUMP WAS INADVERTENTLY PROGRAMMED WITH THE DRUG CONCENTRATION AS 0.2MG INSTEAD OF 20 MG/100ML. THE 100ML BAG OF MILRINONE WAS INFUSED WITHIN APPROXIMATELY 20 MINUTES. THE PATIENT EXPERIENCED HYPOTENSION THAT EVENTUALLY BECAME UNRESPONSIVE TO PRESSURE SUPPORT DRUGS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPIRA PLUM A IV INFUSION PUMP FRN HOSPIRA WORLDWIDE, INC PLUM A *

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Death