BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALARIS

    MDR report key: 3201166 · Received April 8, 2013

    Report

    Report Number
    3201166
    Event Type
    Malfunction
    Date Received
    April 8, 2013
    Date of Event
    April 6, 2013
    Report Date
    April 8, 2013
    Manufacturer
    CAREFUSION
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VT, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144744 ALARIS SET, ADMINISTRATION, INTRAVASCULAR FPA CAREFUSION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *