BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIMS DELTEC INC

    MDR report key: 194004 · Received October 21, 1998

    Report

    Report Number
    194004
    Event Type
    Other
    Date Received
    October 21, 1998
    Date of Event
    September 2, 1998
    Report Date
    September 30, 1998
    Manufacturer
    SIMS DELTEC INC.
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WIFE OF PT CALLING TO REORDER CASSETTES AND COMPLAIN ABOUT THE FACT THAT PUMP DOES NOT ALARM WHEN THE CASSETTES ARE NOT SECURELY LOCKED IN PLACE. SHE IN CONCERNED THAT THIS MIGHT HAPPEN TO SOMEONE ELSE AS IT DID TO HER HUSBAND YESTERDAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIMS DELTEC INC 100 ML MEDICATION CASSETTE RESERVOIR FRN SIMS DELTEC INC. 100ML *

    Patients

    Seq Age Sex Outcome Treatment
    1 29 YR Other