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