FDA Adverse Event
Malfunction
Summary report: N
PUMP FREEDOM 60
MDR report key: 23465728
·
Received November 4, 2025
Report
- Report Number
- MW5178482
- Event Type
- Malfunction
- Date Received
- November 4, 2025
- Report Date
- October 31, 2025
- Manufacturer
- MOOG / ZEVEX, INC.
- 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
PT REPORTED THEIR PUMP STOPPED WORKING, THE SPRING HAS GIVEN OUT. PUMP SERIAL NUMBER AND EXPIRATION UNKNOWN. NO FURTHER INFORMATION, DETAILS OR DATES AVAILABLE. PRODUCT LOT AND EXPIRATION UNKNOWN. UNKNOWN IF MD IS AWARE. DOSE/AMOUNT: CUTAQUIG SDV - 36GM. CUTAQUIG SDV INDICATION: OTHER COMMON VARIABLE IMMUNODEFICIENCIES. 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? - UNKNOWN; IS DEVICE ASSOCIATED WITH EVENT AVAILABLE FOR RETURN? - UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2677539 | PUMP FREEDOM 60 | PUMP, INFUSION | FRN | MOOG / ZEVEX, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | CUTAQUIG SDV |