BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CADD PLUS

    MDR report key: 96962 · Received June 4, 1997

    Report

    Report Number
    96962
    Event Type
    Injury
    Date Received
    June 4, 1997
    Date of Event
    May 15, 1997
    Report Date
    May 16, 1997
    Manufacturer
    SIMS DELTEC
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    RECEIVES IV ZOSYN VIA CADD PLUS PUMP, 50 ML Q 8 HRS, 4.5 GM Q 8 HRS IV. BETWEEN 1620-1950 PM, PUMP INFUSED 13.5 GM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CADD PLUS AMBULATORY INFUSION PUMP FRN SIMS DELTEC 5400 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Hospitalization