BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS PUMP

    MDR report key: 2082995 · Received May 4, 2011

    Report

    Report Number
    MW5020520
    Event Type
    Malfunction
    Date Received
    May 4, 2011
    Date of Event
    March 3, 2011
    Report Date
    May 4, 2011
    Manufacturer
    CAREFUSION
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BRAIN FAILURE. TURNED THE PUMP ON, THE SCREEN WENT BLACK AND THEN RED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALARIS PUMP ALARIS PUMP FRN CAREFUSION 8015

    Patients

    Seq Age Sex Outcome Treatment
    1