BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EZ FLOW 480

    MDR report key: 217852 · Received April 6, 1999

    Report

    Report Number
    MW1016056
    Event Type
    Malfunction
    Date Received
    April 6, 1999
    Date of Event
    March 22, 1999
    Report Date
    March 31, 1999
    Manufacturer
    GISH BIOMEDICAL, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FIRST, THE PUMP JUMPS INTO "PAUSE", THEN "JUMBLED SCREEN". PUMP DOES NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ FLOW 480 AMBULATORY INFUSION PUMP FRN GISH BIOMEDICAL, INC. 480 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other