FDA Adverse Event Malfunction Summary report: N

CURLIN ADMINISTRATION SET

MDR report key: 2053353 · Received March 15, 2011

Report

Report Number
1722139-2011-00033
Event Type
Malfunction
Date Received
March 15, 2011
Date of Event
February 9, 2011
Report Date
March 14, 2011
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE INFO PROVIDED IN THE COMPLAINT IS UNCLEAR. CUSTOMER WAS E-MAILED TO ASK FOR CLARIFICATION AND FOR F/U ON RETURNED SAMPLES. A F/U WILL BE SUBMITTED WHEN A RESPONSE FROM THE CUSTOMER IS RECEIVED AND/OR PRODUCT IS RECEIVED AND EVALUATED.

Description of Event or Problem · 1

THE CUSTOMER COMPLAINS THAT THE SYSTEM FILLS WITH AIR AGAIN AT THE BACILLUS FILTER AFTER VENTILATION OF THE PUMP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CURLIN ADMINISTRATION SET FRN MOOG MEDICAL DEVICES GROUP 340-4164 CF1020405

Patients

Seq Age Sex Outcome Treatment
1