FDA Adverse Event
Malfunction
Summary report: N
CURLIN INFUSION PAINSMART IOD IV PUMP
MDR report key: 1508452
·
Received October 14, 2009
Report
- Report Number
- 1722139-2009-00041
- Event Type
- Malfunction
- Date Received
- October 14, 2009
- Date of Event
- September 9, 2009
- Report Date
- October 13, 2009
- Manufacturer
- MOOG MEDICAL DEVICES GROUP
- Product Code
- FRN
- PMA / PMN Number
- K981816
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Additional Manufacturer Narrative · 1
PUMP WILL NOT BE RETURNED TO MOOG MEDICAL DEVICES GROUP PER THE CUSTOMER. THE CUSTOMER'S BIOMED DEPARTMENT TESTED THE PUMP WITH THE SAME SYRINGE TYPE AND COULD NOT DUPLICATE THE ERROR. IT APPEARS THE CAREGIVERS ARE TWISTING THE SYRINGES, CAUSING THEM TO NOT FUNCTION AS DESIGNED.
Description of Event or Problem · 1
REPORTED BY THE CUSTOMER AS: "NURSES AT (B)(6) HOSPITAL ARE EXPERIENCING UNDER INFUSIONS WITH B-D SYRINGES FILLED BY THE PHARMACY. FIFTY-FIVE ML PROGRAMMED AND 10ML LEFTOVER AFTER THE PUMP COMPLETES ITS DOSE. PUMP WILL NOT BE RETURNED. BIOMED CHECKING PUMP WITH NEW SYRINGES AND CANNOT DUPLICATE ERROR. NURSES STATE THEY WERE TWISTING THE SYRINGE'S PLUNGER". PATIENT INJURY? NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CURLIN INFUSION PAINSMART IOD IV PUMP | FRN | MOOG MEDICAL DEVICES GROUP |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |