BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CADD LEGACY PUMP

    MDR report key: 13736394 · Received March 10, 2022

    Report

    Report Number
    MW5108073
    Event Type
    Malfunction
    Date Received
    March 10, 2022
    Date of Event
    January 11, 2022
    Report Date
    January 11, 2022
    Manufacturer
    SMITHS MEDICAL ASD, INC.
    Product Code
    LHI
    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 LEGACY PUMP ALARMED NO DISPOSABLE CLAMP TUBING. TROUBLESHOOTING AND SWITCHING CASSETTE TO BACKUP PUMP DID NOT RESOLVE ALARM. CASSETTE LOT 4192062, EXPIRATION 09/02/2026, SWITCHED TO NEW CASSETTE. NO FURTHER DETAILS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1872313 CADD LEGACY PUMP PUMP, INFUSION LHI SMITHS MEDICAL ASD, INC.
    1872314 CADD CASSETTE 100ML W/FLOWSTOP SET, I.V. FLUID TRANSFER LHI SMITHS MEDICAL ASD, INC. 4192062