BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZEVEX INFINITY PUMP

    MDR report key: 1917936 · Received December 3, 2010

    Report

    Report Number
    MW5018496
    Event Type
    Injury
    Date Received
    December 3, 2010
    Date of Event
    July 19, 2010
    Report Date
    December 3, 2010
    Manufacturer
    MOOG
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ZEVEX ENTERAL PUMP ALARMING 'NO FOOD'. (B)(6), RN AT BEDSIDE. TROUBLESHOOTING WITH TRIAGE NURSE PER MANUAL. (B)(6) RN STATES HE HAS THE NEWEST MANUAL AT BEDSIDE AND HAS BEEN TROUBLESHOOTING PUMP FOR 60 MIN PER MANUAL FOR 'NO FOOD' ALARM, WITH NO RESOLUTION. INSTRUCTED CALLER TO CONTINUE BOLUS FEEDINGS AT THE PRESCRIBED RATE: 125 ML PER HOUR, OR 60 ML EVERY 30 MIN. CALLER REQ NEW PUMP FOR TOMORROW (B)(6) 2010. DIAGNOSIS OR REASON FOR USE: SPINAL MUSCULAR ATROPHY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZEVEX INFINITY PUMP ENTERAL PUMP LZH MOOG 507164081

    Patients

    Seq Age Sex Outcome Treatment
    1 12 YR Disability