BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE HOME PUMP

    MDR report key: 19453 · Received February 6, 1995

    Report

    Report Number
    MW1005034
    Event Type
    Malfunction
    Date Received
    February 6, 1995
    Date of Event
    January 17, 1995
    Report Date
    January 27, 1995
    Manufacturer
    BLOCK MEDICAL, INC.
    Product Code
    MEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DC, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PUMP WOULD NOT INFUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ECLIPSE HOME PUMP HOME PUMP MEB BLOCK MEDICAL, INC. ECLIPSE 45020

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR