BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PLUM A+

    MDR report key: 1940686 · Received December 9, 2010

    Report

    Report Number
    1940686
    Event Type
    Malfunction
    Date Received
    December 9, 2010
    Date of Event
    December 9, 2010
    Report Date
    December 9, 2010
    Manufacturer
    HOSPIRA
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    DE, US

    Narratives

    Description of Event or Problem · 1

    IV PUMP DELIVERING PHENYLEPRINE MALFUNCTIONED WITH A #321 ERROR INTERUPTING DRUG DELIVERY. PUMP WAS TAKEN OUT OF SERVICE AND A DIFFERENT PUMP IS IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUM A+ INFUSION PUMP FRN HOSPIRA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *