FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3043410 · Received March 11, 2013

Report

Report Number
1722139-2013-00154
Event Type
Malfunction
Date Received
March 11, 2013
Date of Event
January 1, 2013
Report Date
February 19, 2013
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION FOUND THAT PUMP SHOWED IMPACT BENT/DAMAGE PLATEN BUT PASSED 40 PSI AND ACCURACY TESTS AFTER ADJUSTMENTS TO THE PLATEN DOOR.

Description of Event or Problem · 1

INFO RECEIVED INDICATES THAT THE PLATEN'S DOOR IS BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
102544 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 6000 PAINSMART IOD

Patients

Seq Age Sex Outcome Treatment
1