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