CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP 1400 21-1400-51

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-03-31 for CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP 1400 21-1400-51 manufactured by Smiths Medical Asd, Inc..

Event Text Entries

[185724376] Information was received indicating that a patient who was receiving duodopa treatment with a cadd-legacy duodopa ambulatory infusion pump was in the hospital for five weeks and their pump was "usually switched off at 10 pm. However, last night patient's husband didn't stay overnight, and the nursing staff left the pump running over night. " per reporter the husband reported that the patient was "having more frequent convulsions" that were "lasting longer each time, and she is being given an injection that makes her sleepy after fitting. " it was reported that no cause had been found, but the staff was investigating. The husband reported that the pump showed a total infusion volume over twenty-four (24) hours as "4610 mg. " per reporter, the husband was advised to keep the patient off of the pump if they were showing signs of "on symptoms. " it was reported that the husband was advised that the sleepiness could be caused by the medication, and it was "difficult to say if it's due to the extra dose of duodopa. " it was also reported that the husband "came to see the patient around 10:30 am and morning dose is usually given at 8-8:30 am. And duadopa pump has only been switched off for 1 hour. " the husband was advised by the reporter to speak with the hospital doctors and consultants there regarding switching the pump off and keeping it off. Additional information was received indicating that the patient has passed away. Per reporter, the cause of the death was unreported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012307300-2020-02583
MDR Report Key9903693
Report SourceDISTRIBUTOR
Date Received2020-03-31
Date of Report2020-03-31
Date Mfgr Received2020-03-03
Device Manufacturer Date2015-04-10
Date Added to Maude2020-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDAVE HALVERSON
Manufacturer Street6000 NATHAN LANE NORTH
Manufacturer CityMINNEAPOLIS, MN
Manufacturer CountryUS
Manufacturer Phone3833310
Manufacturer G1SMITHS MEDICAL ASD, INC.
Manufacturer Street3350 GRANADA AVE. N. SUITE 100
Manufacturer CityOAKDALE, MN
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP
Generic NamePUMP, INFUSION, ENTERAL
Product CodeLZH
Date Received2020-03-31
Model Number1400
Catalog Number21-1400-51
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITHS MEDICAL ASD, INC.
Manufacturer Address6000 NATHAN LANE NORTH MINNEAPOLIS, MN US


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2020-03-31

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