FDA Adverse Event Malfunction Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 3062606 · Received March 18, 2013

Report

Report Number
1722139-2013-00165
Event Type
Malfunction
Date Received
March 18, 2013
Date of Event
February 1, 2013
Report Date
February 22, 2013
Manufacturer
MOOG MEDICAL DEVICE GROUP
Product Code
LZH
PMA / PMN Number
K031199
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PUMP HAS BEEN TESTED SEVERAL TIMES USING WATER, AND EACH TIME WHEN BAG WAS EMPTY PUMP STOPPED PUMPING AND ALARMING NO FOOD (OR PUMP FINISH DOES: ALARMING "DOSE DONE"). ALL ALARMS HAVE BEEN CHECKED AND WORK PROPERLY. COMPLAINT COULD NOT BE CONFIRMED.

Description of Event or Problem · 1

CUSTOMER STATES THAT THE PUMP KEEPS RUNNING DURING TESTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
112672 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICE GROUP INFINITY PUMP

Patients

Seq Age Sex Outcome Treatment
1