FDA Adverse Event Other Summary report: N

TRAVENOL

MDR report key: 981924 · Received January 14, 2008

Report

Report Number
MW5005037
Event Type
Other
Date Received
January 14, 2008
Manufacturer
BAXTER
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

IV 1000 CC BEING AT 11:30PM RATE SET AT 75 1/HR - VOLUME TO BE INFIRMED AT 1000 CC. AT 01:30 PUMP WAS BEEPING AIR - NOTED AIR IN TUBING BAG WAS EMPTY AND PUMP STATED THERE WAS 899 CC LEFT IN BAG TO BE INFUSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRAVENOL IV PUMP FRN BAXTER 6301

Patients

Seq Age Sex Outcome Treatment
1 YR Other