BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CADD LEGACY PLUS PUMP

    MDR report key: 10396896 · Received August 12, 2020

    Report

    Report Number
    3012307300-2020-08101
    Event Type
    Malfunction
    Date Received
    August 12, 2020
    Report Date
    September 15, 2020
    Manufacturer
    ST PAUL
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE PREVIOUS FOLLOW UP REPORT SHOULD'VE BEEN SENT AS A CORRECTION REPORT WITH 09-14-2020 AS THE AWARE DATE.

    Description of Event or Problem · 1

    INFORMATION WAS RECEIVED INDICATING THAT A SMITHS MEDICAL PUMP WAS ALARMING "NO DISPOSABLE, CLAMP TUBING" WHEN A CASSETTE WAS ATTACHED. THERE WAS NO PATIENT INJURY. THERE WERE NO REPORTED ADVERSE EVENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    862781 CADD LEGACY PLUS PUMP PUMP, INFUSION FRN ST PAUL 6500

    Patients

    Seq Age Sex Outcome Treatment
    1