FDA Adverse Event Malfunction Summary report: N

FLUSHING PUMP OFP-2 (ROW)

MDR report key: 19744215 · Received July 15, 2024

Report

Report Number
9611174-2024-01326
Event Type
Malfunction
Date Received
July 15, 2024
Date of Event
July 5, 2024
Report Date
January 5, 2026
Manufacturer
KEYMED (MEDICAL AND INDUSTRIAL EQUIPMENT) LTD.
Product Code
FEQ
UDI-DI
15019778003238
PMA / PMN Number
K100899
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(6) THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED DURING CLEANING AND DISINFECTION, THE SUBJECT DEVICE HAD PANEL OUT OF ORDER. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1390582 FLUSHING PUMP OFP-2 (ROW) OLYMPUS FLUSHING PUMP FEQ KEYMED (MEDICAL AND INDUSTRIAL EQUIPMENT) LTD. K10001145 15019778003238

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown CV-290