BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDICAL SPECIALTIES DIST. INC

    MDR report key: 752893 · Received June 27, 2005

    Report

    Report Number
    MW1035930
    Event Type
    Other
    Date Received
    June 27, 2005
    Date of Event
    June 23, 2005
    Report Date
    June 24, 2005
    Manufacturer
    MEDICAL SPECIATIES DISTRIBUTORS, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DOSE OF ANTIBIOTIC SHOULD HAVE GRAVITY INFUSED OVER 15-30". INFUSION OF ANTIBIOTIC TOOK OVER 1 HR. TWO NURSE'S VISITS TO ASSESS. WHEN THEY REMOVED EXTENSION INFUSION RAN AT CORRECT RATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL SPECIALTIES DIST. INC MICROBORE EXTENSION SET FPA MEDICAL SPECIATIES DISTRIBUTORS, INC. MS438 313048

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other