BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PCA

    MDR report key: 3201099 · Received April 26, 2013

    Report

    Report Number
    3201099
    Event Type
    Malfunction
    Date Received
    April 26, 2013
    Date of Event
    March 25, 2013
    Report Date
    April 26, 2013
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    183362 PCA PUMP, INFUSION FRN * *

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR