BEUDAMED
    FDA Adverse Event Summary report: N

    FLO-GARD PUMP

    MDR report key: 25234 · Received September 6, 1995

    Report

    Report Number
    MW1006844
    Date Received
    September 6, 1995
    Date of Event
    August 17, 1995
    Report Date
    August 21, 1995
    Manufacturer
    FENWAL DIV.
    Product Code
    FRN
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MS DRIP HUNG ON PUMP AT 1CC/MGM. RATE SET AT 1 MGM/HR. 100CC BAG HUNG AT 1700 HRS. AT 1900 HRS PUMP INDICATOR NOTED 1CC HAD INFUSED. BAG NOTED TO HAVE 60CC REMAINING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLO-GARD PUMP PUMP FRN FENWAL DIV.

    Patients

    Seq Age Sex Outcome Treatment
    1 *