FDA Adverse Event Injury Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 2573897 · Received May 7, 2012

Report

Report Number
1722139-2012-00722
Event Type
Injury
Date Received
May 7, 2012
Date of Event
January 1, 2008
Report Date
October 30, 2008
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
LZH
PMA / PMN Number
K031199
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW FOR REPORTABILITY.

Description of Event or Problem · 1

INFORMATION RECEIVED INDICATES THE HOSPITAL PROGRAMMED A DOSE OF 300ML THAT SHOULD HAVE PASSED IN 5 HOURS, BUT THE CHILD RECEIVED 500ML IN 1 HOUR, 30 MIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICES GROUP INFINITY PUMP

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization