BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AS50 SYRINGE PUMP

    MDR report key: 2039329 · Received March 16, 2011

    Report

    Report Number
    2039329
    Event Type
    Malfunction
    Date Received
    March 16, 2011
    Date of Event
    March 1, 2011
    Report Date
    March 16, 2011
    Manufacturer
    BAXTER
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    MEDICATION INFUSING ON SYRINGE PUMP WHEN BEGAN ALARMING WITH ERROR M013050. MEDICATION TRANSFERRED TO SPARE SYRINGE PUMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AS50 SYRINGE PUMP INFUSION PUMP, SYRINGE PUMP FRN BAXTER * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *