BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CADD PRIZM VIP INFUSION PUMP

    MDR report key: 2926124 · Received January 17, 2013

    Report

    Report Number
    MW5028664
    Event Type
    Malfunction
    Date Received
    January 17, 2013
    Date of Event
    August 13, 2012
    Report Date
    January 8, 2013
    Manufacturer
    SMITHS MEDICAL
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    APPARENT POWER DOWN ISSUE OF PUMP. QUESTION PROCESSOR. THIS UNIT AND ALL OTHERS FROM PURCHASE BATCH TO BE RETURNED TO SMITHS FOR EVALUATION / INSPECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25540 CADD PRIZM VIP INFUSION PUMP CADD PRIZM VIP INFUSION PUMP FRN SMITHS MEDICAL PRIZM VIP

    Patients

    Seq Age Sex Outcome Treatment
    1