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 |