BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TEMP PUMP PROFESSIONAL

    MDR report key: 2112682 · Received April 29, 2011

    Report

    Report Number
    1313850-2011-00091
    Event Type
    Malfunction
    Date Received
    April 29, 2011
    Date of Event
    March 31, 2011
    Report Date
    March 31, 2011
    Manufacturer
    STRYKER CORP DBA GAYMAR
    Product Code
    ILO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE REC'D BY MFR IN DAMAGED CONDITION.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE UNIT'S HOUSING WAS DAMAGED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TEMP PUMP PROFESSIONAL PUMP ILO STRYKER CORP DBA GAYMAR TP700 NA

    Patients

    Seq Age Sex Outcome Treatment
    1