FDA Adverse Event
Malfunction
Summary report: N
CURLIN IV PUMP
MDR report key: 3173114
·
Received May 30, 2013
Report
- Report Number
- 1722139-2013-01535
- Event Type
- Malfunction
- Date Received
- May 30, 2013
- Date of Event
- December 3, 2010
- Report Date
- April 30, 2013
- Manufacturer
- MOOG MEDICAL DEVICES GROUP
- Product Code
- FRN
- PMA / PMN Number
- K981816
- Removal / Correction Number
- Z-1870-2011
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION FOUND THAT PUMP HAD EXPERIENCED ERROR CODE 45 IN PUMP'S HISTORY. NEW PUMP SOFTWARE WAS INSTALLED. REFERENCE RECALL NUMBER Z-1870-2011.
Description of Event or Problem · 1
INFORMATION RECEIVED INDICATES THE PUMP HAD EXPERIENCED ERROR CODE 45.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 239840 | CURLIN IV PUMP | FRN | MOOG MEDICAL DEVICES GROUP | PAIN SMART IOD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |