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 |