BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CURLIN INFUSION IV PUMP

    MDR report key: 2823582 · Received October 8, 2012

    Report

    Report Number
    1722139-2012-00991
    Event Type
    Malfunction
    Date Received
    October 8, 2012
    Date of Event
    September 1, 2010
    Report Date
    September 27, 2012
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    FRN
    PMA / PMN Number
    K981816
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION FOUND THAT IMPACT BENT PUMP'S PLATEN DOOR. PLATEN WAS REPLACED TO RESOLVE ISSUE.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATES THAT IMPACT BENT THE PUMP'S PLATEN DOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 4000 CMS

    Patients

    Seq Age Sex Outcome Treatment
    1