FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3072315 · Received April 5, 2013

Report

Report Number
1722139-2013-00190
Event Type
Malfunction
Date Received
April 5, 2013
Date of Event
March 9, 2013
Report Date
March 11, 2013
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

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 WAS TESTED IN BETWEEN PT USE AND PUMP DID NOT DELIVER TEST DOSAGE ACCURATELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
141863 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 6000 CMS IOD

Patients

Seq Age Sex Outcome Treatment
1