BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TEMP PUMP PRO

    MDR report key: 2033368 · Received March 22, 2011

    Report

    Report Number
    1313850-2011-00013
    Event Type
    Malfunction
    Date Received
    March 22, 2011
    Date of Event
    January 24, 2011
    Report Date
    January 24, 2011
    Manufacturer
    GAYMAR INDUSTRIES, INC.
    Product Code
    ILO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THERE WAS FLUID INGRESS ON THE CONTROL BOARD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TEMP PUMP PRO PUMP ILO GAYMAR INDUSTRIES, INC. TP700 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK