FDA Adverse Event
Malfunction
Summary report: N
AMBIT ELECTRONIC PAIN CONTROL PUMP
MDR report key: 16617742
·
Received March 27, 2023
Report
- Report Number
- 16617742
- Event Type
- Malfunction
- Date Received
- March 27, 2023
- Date of Event
- February 9, 2023
- Report Date
- March 24, 2023
- Manufacturer
- AVANOS MEDICAL, INC.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AMBIT PAIN PUMPS MALFUNCTIONED WHEN UTILIZED ON PATIENTS. AVANOS MEDICAL PAIN PUMP PN#220527. WHEN AMBIT PAIN CONTROL SPIKE CASSETTE IS UTILIZED WITH PUMP DEVICE, CASSETTES ARE NOT FITTING PROPERLY AND CAUSING DIFFICULTY WHEN USING THE PRIMING DIAL. CASSETTE PN#220575. MANUFACTURER RESPONSE FOR PUMP, INFUSION, AMBIT* (PER SITE REPORTER) FACILITY IS CURRENTLY WORKING WITH REPRESENTATIVE FROM VENDOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 835585 | AMBIT ELECTRONIC PAIN CONTROL PUMP | PUMP, INFUSION | FRN | AVANOS MEDICAL, INC. | 220527 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29200 DA | Female |