BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZEVEX INFINITY PUMP

    MDR report key: 1950633 · Received December 29, 2010

    Report

    Report Number
    MW5018769
    Event Type
    Injury
    Date Received
    December 29, 2010
    Date of Event
    September 22, 2010
    Report Date
    December 29, 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

    PATIENT'S MOTHER CALLED TO REPORT AN UNRESOLVED ERROR ALARM "NO FOOD" ON ZEVEX INFINITY PUMP. MOTHER HAD ATTEMPTED TO CLEAR THE ALARM FOLLOWING THE INSTRUCTIONS IN THE PUMP MANUAL, BUT THE PUMP CONTINUED TO ALARM. PUMP EXCHANGED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 9 YR Disability