BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PUMP, INFUSION

    MDR report key: 17497725 · Received August 10, 2023

    Report

    Report Number
    17497725
    Event Type
    Malfunction
    Date Received
    August 10, 2023
    Date of Event
    May 15, 2023
    Report Date
    June 29, 2023
    Manufacturer
    ATLANTA BIOMEDICAL CORPORATION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    FEEDING INFORMATION WAS ENTERED INTO MACHINE AND ENTER WAS SELECTED TO DELIVER THE FEED BUT PLUNGER WAS DISENGAGED. MACHINE DID NOT ALARM THAT PLUNGER WAS NOT ENGAGED AND CONTINUED AS IF FEED WAS BEING DELIVERED. THIS RESULTED IN THE FEED BEING DELAYED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1758952 PUMP, INFUSION FRN ATLANTA BIOMEDICAL CORPORATION 80000331 69137

    Patients

    Seq Age Sex Outcome Treatment
    1 90 DA Unknown