FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3012497 · Received February 20, 2013

Report

Report Number
1722139-2013-00088
Event Type
Malfunction
Date Received
February 20, 2013
Date of Event
January 22, 2013
Report Date
January 22, 2013
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION FOUND THAT PUMP FAILED VOLUMETRIC ACCURACY TEST. PUMP WAS RECALIBRATED TO RESOLVE THE ISSUE.

Description of Event or Problem · 1

CUSTOMER STATED THAT PUMP DID NOT INFUSE WHAT IT WAS SET FOR. ATTEMPTS WERE MADE TO OBTAIN MORE DETAILS RELATED TO THE EVENT WITH NO RESPONSE RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
74632 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 6000 PAINSMART IOD

Patients

Seq Age Sex Outcome Treatment
1