BEUDAMED
    FDA Adverse Event Summary report: N

    LIFECARE PCA

    MDR report key: 10613 · Received December 21, 1993

    Report

    Report Number
    MW1000190
    Date Received
    December 21, 1993
    Date of Event
    December 8, 1993
    Report Date
    December 17, 1993
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    MEA
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PCA SHUT ITSELF OFF. ON INSPECTION ONE PRONG OF THE 3-WAY PRONG HAD FALLEN OFF. TAKEN OUT OF SERVICE AND SENT TO MAINTENANCE AT PVH FOR REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFECARE PCA MEA ABBOTT LABORATORIES 4100

    Patients

    Seq Age Sex Outcome Treatment
    1 *