BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZEVEX INFINITY PUMP

    MDR report key: 1950658 · Received December 29, 2010

    Report

    Report Number
    MW5018776
    Event Type
    Injury
    Date Received
    December 29, 2010
    Report Date
    December 29, 2010
    Manufacturer
    MOOG
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT CALLED TO REPORT A ZEVEX INFINITY PUMP ERROR ALARM "NO FOOD". PT ATTEMPTED TO CLEAR THE ALARM FOLLOWING INSTRUCTIONS IN THE PUMP MANUAL, BUT WOULD RUN FOR A PERIOD OF TIME AND START ALARMING AGAIN. PUMP EXCHANGED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability