BTW, the information on this case is on the web. Just google "Jain vs. Abbott" and read Judge Urbanski's opinion. I first thought it was a case of operator error and the victim's family should be suing the hospital not the maker of the pump, but the more I think about this, it isn't all that clear cut.
I always thought the safety net on this pump was bulletproof because of the barcode system. The preprinted barcode label identifies the drug and its concentration and the drug library in the pump's memory tells you if there is a dangerous rate of infusion. The PCA 3 pump will not operate if the barcode reader cannot read the label. If the syringe cartridge is installed carelessly and the label isn't in the correct orientation the pump will stop and send out an error message. Because of this, it was always my impression you cannot use vials with no barcode label.
Along with the barcode system, there is a numeric keypad for manual entry of infusion rates, modes of operation, pendant lockout times, etc.
In this case, the nurses manually entered to the pump a lower concentration than what was really in the cartridge. They made an error - that cannot be disputed. But given that THERE HAS to be a preprinted barcode label, why wasn't the prescription already on it? Even a "custom"vial can still have a "custom" preprinted barcode label with the full information. By allowing the operator to punch in the drug CONCENTRATION manually, the whole safety net can be compromised. He can make a typo, or by misunderstanding (this is probably what happened) of whether the pump is asking for the total amount dry weight per vial, or the dry weight per cc of liquid. The cost/benefit of allowing for this workflow should be re-examined IMHO to prevent future tragedies, no matter what the outcome of this lawsuit.
There has been no intention to deceive, but as you would treat anything written on CP, take this with a grain of salt and do your own homework to verify what is written. Good day and peace.