FDA Adverse Event
Malfunction
Summary report: N
CADD PLUS IV PUMP
MDR report key: 213089
·
Received March 4, 1999
Report
- Report Number
- MW1015837
- Event Type
- Malfunction
- Date Received
- March 4, 1999
- Date of Event
- February 19, 1999
- Report Date
- February 26, 1999
- Manufacturer
- SIMS DELTEC, INC.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CT, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
CADD PLUS PUMP DISPLAYED "99 LOW BATTERY". NEW BATTERY HAD BEEN USED. STARTED PUMP IN "LLI". RESIDUAL VOLUME DISPLAYED 580. ONCE IN START MODE THE PUMP SWITCHED TO "99 LOW BATTERY". VISITING NURSE REQUESTED AND REC'D NEW CADD PLUS WHICH WORKED CORRECTLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CADD PLUS IV PUMP | IV PUMP | FRN | SIMS DELTEC, INC. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |