FDA Adverse Event
Malfunction
Summary report: N
LZH PUMP, INFUSION, ENTERAL
MDR report key: 1203622
·
Received October 16, 2008
Report
- Report Number
- 1527460-2008-00881
- Event Type
- Malfunction
- Date Received
- October 16, 2008
- Date of Event
- October 3, 2008
- Report Date
- October 3, 2008
- Manufacturer
- ABBOTT NUTRITION
- Product Code
- LZH
- PMA / PMN Number
- K943733
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
THE COMPLAINANT REPORTS AN UNDER DELIVERY. IT WAS REPORTED THAT THE FLOW RATE WAS SET AT 200 ML/HR. AFTER ONE HR 15 MIN, THE ACTUAL VOLUME FED WAS 168 ML.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | LZH PUMP, INFUSION, ENTERAL | PATROL PUMP | LZH | ABBOTT NUTRITION | 52036 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |