FDA Adverse Event Malfunction Summary report: N

PLUM 360¿ INFUSER

MDR report key: 21328147 · Received February 6, 2025

Report

Report Number
9615050-2025-00065
Event Type
Malfunction
Date Received
February 6, 2025
Date of Event
January 9, 2025
Report Date
February 6, 2025
Manufacturer
ICU MEDICAL COSTA RICA LTD.
Product Code
FRN
PMA / PMN Number
K161469
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: CUSTOMER COMPLAINT PROGRAM IT FOR 20 ML, BUT ONLY GETS 11.5 ML. NO OTHER INFORMATION PROVIDED. COMPLAINT NOT VERIFIED. RAN DELIVERY ACCURACY TEST OF 200 ML/HR. AND A VTBI OF 20 ML. DEVICE PASSES ACCURACY TEST DELIVERING 20.6 ML. PROBABLE CAUSE NO PROBLEM FOUND. DEVICE PASSES SELF-TEST WITH NO ALARMS. VISUAL INSPECTION FOUND MINOR DAMAGE TO FLUID SHIELD AND A NON-ICU BATTERY. REPLACED BOTH AND PRESSED CHANGE BATTERY SOFT KEY.

Description of Event or Problem · 0

A COMPLAINT WAS RECEIVED WITH REGARDS TO A PLUM 360 THAT EXPERIENCED DEVICE INACCURACY. "PROGRAM IT FOR 20 ML, BUT ONLY GETS 11.5 ML. NO OTHER INFORMATION PROVIDED. 250109-003226."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1297950 PLUM 360¿ INFUSER PUMP, INFUSION FRN ICU MEDICAL COSTA RICA LTD.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown