FDA Adverse Event
Malfunction
Summary report: N
CADD-LEGACY
MDR report key: 3001624
·
Received January 21, 2013
Report
- Report Number
- 3001624
- Event Type
- Malfunction
- Date Received
- January 21, 2013
- Date of Event
- December 26, 2012
- Report Date
- January 21, 2013
- Manufacturer
- SMITHS MEDICAL ASD, INC.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- RI, US
Narratives
Description of Event or Problem · 1
PUMP WAS FOUND TO BE ON STOPPED MODE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 28916 | CADD-LEGACY | PUMP, INFUSION | FRN | SMITHS MEDICAL ASD, INC. | 6400 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |