BEUDAMED
    FDA Adverse Event Other Summary report: N

    ENTERALITE INFINITY ENTERAL FEEDING PUMP

    MDR report key: 1952132 · Received December 29, 2010

    Report

    Report Number
    1722139-2010-00104
    Event Type
    Other
    Date Received
    December 29, 2010
    Date of Event
    December 9, 2010
    Report Date
    December 29, 2010
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    LZH
    PMA / PMN Number
    K031199
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CUSTOMER HAS BEEN CONTACTED IN AN ATTEMPT TO OBTAIN THE PUMP FOR EVALUATION AND ADDITIONAL PATIENT INFORMATION.

    Description of Event or Problem · 1

    INFINITY PUMP CONTINUED TO RUN AFTER THE FOOD WAS GONE. NO PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICES GROUP

    Patients

    Seq Age Sex Outcome Treatment
    1