BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EPS SYSTEM

    MDR report key: 12420 · Received March 31, 1994

    Report

    Report Number
    MW1001373
    Event Type
    Injury
    Date Received
    March 31, 1994
    Date of Event
    October 18, 1993
    Report Date
    January 31, 1994
    Manufacturer
    PHARMACIA DELTEC, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    THE PT CALLED AND STATED THAT THE BATTERY PACK LIGHTS WERE NOT COMING ON AND WAS AFRAID IT WAS NOT CHANGING CORRECTLY. RPTR FOUND THAT THE WIRE CONNECTED TO THE AC ADAPTER SITE HAD BECOME DISCONNECTED. RPTR IMMEDIATELY REPLACED THE PACK WITH A NEW ONE AND TOOK THE DAMAGED ONE OUT OF SERVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EPS SYSTEM EXTERNAL POWER SOURCE FOR INFUSION PUMP FRN PHARMACIA DELTEC, INC. 21-2339 R20040

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention