BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS 7120 (SIGNATURE EDITION GOLD)

    MDR report key: 1251388 · Received November 22, 2008

    Report

    Report Number
    1251388
    Event Type
    Malfunction
    Date Received
    November 22, 2008
    Date of Event
    October 24, 2008
    Report Date
    November 22, 2008
    Manufacturer
    CARDINAL HEALTH MEDICAL PRODUCTS & SERVICES
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AN ALARIS PUMP DISPLAYED A "BATTERY DEPLETED" MESSAGE AFTER BEING UNPLUGGED FROM THE OUTLET, DESPITE BEING PLUGGED IN FOR SEVERAL DAYS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALARIS 7120 (SIGNATURE EDITION GOLD) PUMP, IV FRN CARDINAL HEALTH MEDICAL PRODUCTS & SERVICES * *

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR