FDA Adverse Event Malfunction Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 2842194 · Received October 22, 2012

Report

Report Number
1722139-2012-01066
Event Type
Malfunction
Date Received
October 22, 2012
Date of Event
September 10, 2012
Report Date
September 24, 2012
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
LZH
PMA / PMN Number
K031199
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

PUMP HAS BEEN TESTED SEVERAL TIMES USING WATER, AND EACH TIME WHEN BAG WAS EMPTY PUMP STOPPED PUMPING AND ALARMING NO FOOD (OR PUMP FINISH DOSE: ALARMING "DOSE DONE"). COMPLAINT COULD NOT BE CONFIRMED.

Description of Event or Problem · 1

CUSTOMER STATES THAT PUMP DOES NOT STOP WHEN THE BAG IS EMPTY.

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 2 YR NEOCATE JR W/PREBIOTICS 400 GM