FDA Adverse Event
Malfunction
Summary report: N
READYMED
MDR report key: 14724
·
Received July 15, 1994
Report
- Report Number
- MW1002845
- Event Type
- Malfunction
- Date Received
- July 15, 1994
- Date of Event
- May 30, 1994
- Report Date
- July 6, 1994
- Manufacturer
- MCGAW, INC.
- Product Code
- MEB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
PT REPORTED PUMP NOT INFUSING, LPN FOUND PUMP TO NOT OWRK. LPN TOOK PUMP AND INADVERTENTLY DISPOSED OF IT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | READYMED | ELASTOMERIC INFUSION DEVICE | MEB | MCGAW, INC. | 94C012 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Other |