FDA Adverse Event
Malfunction
Summary report: N
CURLIN INFUSION IV PUMP
MDR report key: 3171834
·
Received May 23, 2013
Report
- Report Number
- 1722139-2013-01262
- Event Type
- Malfunction
- Date Received
- May 23, 2013
- Date of Event
- May 8, 2013
- Report Date
- May 8, 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 TESTS. PUMP WAS CALIBRATED TO RESOLVE THE ISSUE.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATED THAT PUMP FAILS VOLUMETRIC ACCURACY TEST AT 9.52ML (RATE AND DOSAGE ARE 125ML/HR AND 10ML) AND 4.59ML (RATE AND DOSAGE ARE 19.9ML/HR AND 5ML).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 228092 | CURLIN INFUSION IV PUMP | FRN | MOOG MEDICAL DEVICES GROUP | 6000 PAINSMART IOD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |