BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHERWOOD MEDICAL CO

    MDR report key: 203425 · Received December 22, 1998

    Report

    Report Number
    MW1015278
    Event Type
    Malfunction
    Date Received
    December 22, 1998
    Date of Event
    August 15, 1998
    Report Date
    December 18, 1998
    Manufacturer
    SHERWOOD MEDICAL CO.
    Product Code
    LZH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS TRANSFERRED TO "PSCU" WITHOUT ORERS WRITTEN AND HER G-TUBE WAS CLOTTED OFF, AND UNABLE TO FLUSH. MD WAS AWARE AND WROTE ORDERS, G-TUBE WAS CHANGED AND FEEDS RESTARTED. NO HARM TO PT. BIOMED CALLED AND REMOVED PUMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHERWOOD MEDICAL CO KANGAROO PUMP 324 LZH SHERWOOD MEDICAL CO. 324 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 YR Other