Please note: In October and November 2010, the MHRA moved from its Market Towers address to a new location on Buckingham Palace Road. Please go to the contact us section of the website for updated contact details.
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| Issued: 20 December 2007 at 14:30 |
Ref: MDA/2007/100
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Immediate action |
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Action |
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Update |
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Information request |
| Device: Volumetric infusion pump. Smiths Medical (Graseby) 500 and 505 volumetric infusion pumps – all models. |
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| Problem: There is the possibility of delivering an unintended 1.7 ml bolus if the pump door is opened and then immediately closed following a stoppage of the pump. |
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| Action by: Users of these pumps. |
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| Action: To prevent unwanted boluses being delivered to a patient, always wait for a count of at least six seconds after opening the pump door before closing it again. |
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Distributed to:
* via CE Bulletin |
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| Contacts: Details of manufacturer contacts and MHRA contacts for technical and clinical aspects. Change of address or removal from address list for CSCI and Healthcare Commission. |
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| Appendix: Smiths Medical Customer Information Bulletin |
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Action deadlines for the Safety Alert Broadcast System (SABS)
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Deadline (action underway): 21 January 2008
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Deadline (action complete): 20 February 2008
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