FDA Adverse Event
Malfunction
Summary report: N
PUMP CURLIN 6000CMS
MDR report key: 23350936
·
Received October 21, 2025
Report
- Report Number
- MW5177759
- Event Type
- Malfunction
- Date Received
- October 21, 2025
- Report Date
- October 16, 2025
- Manufacturer
- MOOG COSTA RICA, SRL
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- 003
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PATIENT (PT) REPORTED THEIR HOME HEALTH REGISTERED NURSE (RN) STATED PATIENT (PT) NEEDS A NEW PUMP DUE TO CURRENT PUMP READING A BATTERY ERROR. PUMP SERIAL NUMBER AND EXPIRATION UNKNOWN. NO FURTHER INFORMATION, DETAILS OR DATES AVAILABLE. PRODUCT LOT AND EXPIRATION UNKNOWN. UNKNOWN IF MEDICAL DOCTOR (MD) IS AWARE. DOSE/AMOUNT: PRIVIGEN SDV - 35GM. PRIVIGEN SINGLE-DOSE VIALS (SDV) INDICATION: COMMON VARIABLE IMMUNODEFICIENCY, UNSPECIFIED; NONFAMILIAL HYPOGAMMAGLOBULINEMIA. DID PT MISS A DOSE OR HAVE AN INTERRUPTION TO THERAPY? UNKNOWN. DID ADVERSE EVENT(S) RESULT DUE TO PRODUCT ISSUE? UNKNOWN. DID PHARMACY REPLACE DEVICE? YES. IS DEVICE ASSOCIATED WITH EVENT AVAILABLE FOR RETURN? UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2730417 | PUMP CURLIN 6000CMS | PUMP, INFUSION | FRN | MOOG COSTA RICA, SRL | 00000036299 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | PRIVIGEN SDV--. |