FDA Adverse Event Other Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 2132750 · Received June 10, 2011

Report

Report Number
1722139-2011-00094
Event Type
Other
Date Received
June 10, 2011
Report Date
June 1, 2011
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
LZH
PMA / PMN Number
K031199
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULTS: THE OCCLUSION ALARM FUNCTION OF THE PUMP WAS TESTED AND FOUND TO BE WORKING AS EXPECTED. EACH TIME AN UPSTREAM OR DOWN STREAM OCCLUSION WAS INTRODUCED THE PUMP ALARMED AS EXPECTED. FURTHER EVAL OF THE PUMP EVENT LOG SHOWED AN OCCLUSION ALARM HAD OCCURRED INDICATING AN OCCLUSION HAD OCCURRED. FROM THE LOG FILE, WE COULD ALSO READ THAT THE PRIME FUNCTION WAS USED DIRECTLY FOLLOWING THIS OCCLUSION EVENT. USING THE PRIME FUNCTION WHILE WITHOUT CLEARING AN OCCLUSION IS AGAINST THE INSTRUCTIONS OF USE (IFU) AS THIS WILL RE-CALIBRATE THE OCCLUSION ALARM PARAMETERS OF THE PUMP. THE USER QUITE LIKELY TRIED TO OVERCOME THE OCCLUSION SITUATION BY USING THE PRIME FUNCTION AND DID NOT RESOLVE THE OCCLUSION AS MENTIONED IN THE PRODUCT IFUS. CONCLUSION: THE ALLEGED COMPLAINT/DEFECT COULD NOT BE DUPLICATED. THE PUMP PERFORMED ACCORDING TO SPECIFICATION. THIS DEVICE IS SOLD TO AN INTERNATIONAL MARKET; HOWEVER, IT IS SIMILAR TO THE ENTERALITE INFINITY ENTERAL FEEDING PUMP WHICH IS AVAILABLE FOR DISTRIBUTION IN THE U.S.

Description of Event or Problem · 1

CUSTOMER REPORTED; THE NURSE SET THE DOSE TO 100 ML AND THE RATE AT 100 ML/HR WHEN SHE CAME BACK AN HOUR LATER NOTHING HAD DELIVERED. THE SET TUBING HAD MILK CLOGGING THE TUBING. PT INJURY OR MEDICAL INTERVENTION: NO INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICES GROUP NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK