FDA Adverse Event Malfunction Summary report: N

PINNACLE®

MDR report key: 14110832 · Received April 14, 2022

Report

Report Number
1641965-2022-00001
Event Type
Malfunction
Date Received
April 14, 2022
Date of Event
March 29, 2022
Report Date
June 5, 2024
Manufacturer
B. BRAUN MEDICAL INC.
Product Code
NEP
UDI-DI
04046964957437
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL, INC. INTERNAL REPORT NUMBER (B)(4). THE DEVICE INVOLVED HAS NOT BEEN RECEIVED FOR EVALUATION AND THE INVESTIGATION IS ONGOING AT THIS TIME. A FOLLOW-UP WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS BECOME AVAILABLE.

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL, INC. INTERNAL REPORT NUMBER (B)(4). THE DEVICE WAS RETURNED FOR INVESTIGATION. INVESTIGATION RESULTS: THE REPORTED ISSUE WAS NOT PRESENT DURING INVESTIGATION. 9 STATION VOLUMETRIC'S TESTED IN SPEC WITHOUT ALARMS.

Additional Manufacturer Narrative · 0

THIS REPORT HAS BEEN IDENTIFIED AS B. BRAUN MEDICAL, INC. INTERNAL REPORT NUMBER (B)(4). A CORRECTION REPORT IS BEING FILED IN ORDER TO CHANGE REPORT SECTION B1. THE PREVIOUS REPORTS WERE INCORRECTLY FILED AS "ADVERSE EVENT" BUT SHOULD HAVE BEEN FIED AS "PRODUCT PROBLEM".

Description of Event or Problem · 0

AS REPORTED BY THE USER FACILITY: CUSTOMER CALLED TO REPORT AN INTERMITTENT ISSUE WITH THE PUMP DISPENSING LIPIDS INTO ORDERS THAT DO NOT HAVE LIPIDS ORDERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2669656 PINNACLE® SYSTEM/DEVICE, PHARMACY CO NEP B. BRAUN MEDICAL INC. 601184 04046964957437

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown