BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CADD MS3 PUMP

    MDR report key: 13283119 · Received January 14, 2022

    Report

    Report Number
    MW5106705
    Event Type
    Malfunction
    Date Received
    January 14, 2022
    Date of Event
    January 5, 2022
    Report Date
    January 5, 2022
    Manufacturer
    SMITHS MEDICAL ASD, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    INBOUND; CADD MS3 PUMP ALARMING LOW VOLUME WHEN THERE IS ABOUT 1ML OF MEDICATION LEFT IN SYRINGE, SYRINGE LOT (10)210408, EXP 04/07/2026. NO FURTHER DETAILS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    163105 CADD MS3 PUMP PUMP, INFUSION FRN SMITHS MEDICAL ASD, INC. (10)210408

    Patients

    Seq Age Sex Outcome Treatment
    1 21 YR Male