BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PATROL PUMP

    MDR report key: 1213754 · Received October 22, 2008

    Report

    Report Number
    1527460-2008-00872
    Event Type
    Malfunction
    Date Received
    October 22, 2008
    Manufacturer
    ABBOTT NUTRITION
    Product Code
    LZH
    PMA / PMN Number
    K943733
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE EVAL CONFIRMED A DAMAGED POWER CORD.

    Description of Event or Problem · 1

    THE DEVICE EVAL IDENTIFIED A REPORTABLE MALFUNCTION, DAMAGED POWER CORD, UNRELATED TO THE ORIGINAL COMPLAINT WHICH WAS A NON-REPORTABLE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PATROL PUMP LZH, PUMP, INFUSION, ENTERAL LZH ABBOTT NUTRITION 52036

    Patients

    Seq Age Sex Outcome Treatment
    1