FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3221337 · Received July 1, 2013

Report

Report Number
1722139-2013-02341
Event Type
Malfunction
Date Received
July 1, 2013
Date of Event
June 4, 2013
Report Date
June 4, 2013
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
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 FAILED VOLUMETRIC ACCURACY TESTS. PUMP WAS CALIBRATED TO RESOLVE THE ISSUE.

Description of Event or Problem · 1

CUSTOMER ALLEGED THAT PUMP UNDER INFUSED AT 9.2 ML INSTEAD OF 9.5 ML DURING TESTING. RATE AND DOSAGE ARE 125 ML/HR AND 10 ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
297847 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 6000 CMS IOD

Patients

Seq Age Sex Outcome Treatment
1