BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS PUMP

    MDR report key: 1900981 · Received October 15, 2010

    Report

    Report Number
    1900981
    Event Type
    Malfunction
    Date Received
    October 15, 2010
    Date of Event
    October 14, 2010
    Report Date
    October 15, 2010
    Manufacturer
    CAREFUSION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE NOTED RED LIGHT AND ALARM ON INFUSION PUMP INDICATING THAT THE INFUSION HAD STOPPED. THEY WERE UNABLE TO RESTART AND HAD TO CHANGE INFUSION PUMPS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALARIS PUMP INFUSION PUMP FRN CAREFUSION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR