FDA Adverse Event
Malfunction
Summary report: N
CODAN US CORPORATION FOR CME AMERICA LLC BODYGUARD INFUCION PUMP PCA
MDR report key: 10338028
·
Received July 28, 2020
Report
- Report Number
- MW5095764
- Event Type
- Malfunction
- Date Received
- July 28, 2020
- Date of Event
- July 22, 2020
- Report Date
- July 24, 2020
- Manufacturer
- CODAN US CORP/ CAESAREA MEDICAL ELECTRONICS LTD.
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
LEAKING AT BLUE AREA WHERE PCA CONNECTS TO. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 800555 | CODAN US CORPORATION FOR CME AMERICA LLC BODYGUARD INFUCION PUMP PCA | SET, ADMINISTRATION, INTRAVASCULAR | FPA | CODAN US CORP/ CAESAREA MEDICAL ELECTRONICS LTD. | 15844 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |