BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RAPID INFUSER RI-2

    MDR report key: 16768506 · Received April 19, 2023

    Report

    Report Number
    16768506
    Event Type
    Malfunction
    Date Received
    April 19, 2023
    Date of Event
    January 9, 2023
    Report Date
    April 12, 2023
    Manufacturer
    BELMONT INSTRUMENT LLC
    Product Code
    LGZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    TRIPPED CIRCUIT BREAKER AND SHUTDOWN POWER TO THE OPERATING ROOM. FACILITIES DEPARTMENT NOTIFIED TO HELP RESET CIRCUIT BREAKERS DURING A CRITICAL PORTION OF SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1443758 RAPID INFUSER RI-2 WARMER, THERMAL, INFUSION FLUID LGZ BELMONT INSTRUMENT LLC 903-00037

    Patients

    Seq Age Sex Outcome Treatment
    1 20440 DA Male