FDA Adverse Event
Malfunction
Summary report: N
CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP
MDR report key: 10246257
·
Received July 8, 2020
Report
- Report Number
- 3012307300-2020-07032
- Event Type
- Malfunction
- Date Received
- July 8, 2020
- Date of Event
- June 15, 2020
- Report Date
- July 8, 2020
- Manufacturer
- SMITHS MEDICAL ASD, INC.
- Product Code
- LZH
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
INFORMATION WAS RECEIVED INDICATING THAT A DAY SMITHS MEDICAL CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP WAS LEFT ON A PATIENT OVER NIGHT BECAUSE THE PATIENT'S WIFE "DOES NOT ALWAYS WANT TO CHANGE THE PUMP." IT WAS REPORTED THAT THE PATIENT DID NOT NOTICE ANY DIFFERENCE AND NO ADVERSE PATIENT EFFECTS WERE REPORTED. PER REPORTER THE NIGHT PUMP WAS INCREASED TO "CDD 6,7 CDN 5,0."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 711517 | CADD-LEGACY DUODOPA AMBULATORY INFUSION PUMP | PUMP, INFUSION, ENTERAL | LZH | SMITHS MEDICAL ASD, INC. | 1400 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |