FDA Adverse Event Malfunction Summary report: N

CADD

MDR report key: 10258130 · Received July 10, 2020

Report

Report Number
3012307300-2020-07161
Event Type
Malfunction
Date Received
July 10, 2020
Report Date
August 25, 2020
Manufacturer
ST PAUL
Product Code
FRN
UDI-DI
10610586019548
PMA / PMN Number
K982838
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

ORACLE RO 1073543: DEVICE GETTING "AIR IN LINE DETECTED" ERROR REPEATEDLY. ADDITIONAL INFORMATION RECEIVED ON 30-JUN-2020: NO FURTHER INFORMATION AVAILABLE. INVESTIGATION COMPLETED ON A SMITHS MEDICAL CADD LEGACY 6400 PUMP.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED THAT THIS SMITHS MEDICAL CADD LEGACY PUMP EXHIBITED "AIR IN LINE DETECTED" AND CONTINUOUS ERROR. NO REPORTED ADVERSE EFFECTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
724496 CADD LEGACY FRN ST PAUL 6400 10610586019548

Patients

Seq Age Sex Outcome Treatment
1