FDA Adverse Event Malfunction Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 2944194 · Received January 9, 2013

Report

Report Number
1722139-2013-00032
Event Type
Malfunction
Date Received
January 9, 2013
Date of Event
December 12, 2012
Report Date
December 12, 2012
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
LZH
PMA / PMN Number
K031199
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION FOUND THAT THE DIODE D7 WAS DETERMINED TO BE LEAKY AND WAS OUT OF THE SPECIFICATION. NEW PCB BOARD WAS REPLACED TO SOLVE THE ISSUE. (B)(4).

Description of Event or Problem · 1

INFORMATION RECEIVED THAT PUMP ALARMS ERROR CODE 13.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
13213 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICES GROUP INFINITY PUMP

Patients

Seq Age Sex Outcome Treatment
1