BEUDAMED
    FDA Adverse Event Other Summary report: N

    CURLIN ADMINISTRATION SET

    MDR report key: 2181522 · Received July 15, 2011

    Report

    Report Number
    1722139-2011-00111
    Event Type
    Other
    Date Received
    July 15, 2011
    Date of Event
    June 1, 2011
    Report Date
    June 1, 2011
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    FRN
    Removal / Correction Number
    Z-1444-2011
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION IS CURRENTLY ONGOING. WHEN INVESTIGATION IS COMPLETE, A F/U WITH THE RESULTS WILL BE SUBMITTED. LOT # WAS NOT PROVIDED.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THE CALLER RECEIVED MULTIPLE 'AIR IN LINE' ALARMS ON THE MICRON FILTER SETS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CURLIN ADMINISTRATION SET FRN MOOG MEDICAL DEVICES GROUP 340-4128 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 CURLIN INFUSION PUMP