BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

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    MDR report key: 3250778 · Received May 30, 2013

    Report

    Report Number
    3250778
    Event Type
    Malfunction
    Date Received
    May 30, 2013
    Date of Event
    May 22, 2013
    Report Date
    May 30, 2013
    Manufacturer
    B. BRAUN MEDICAL INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE B. BRAUN SYRINGE PUMP DEVICE FAILURE ALARM CODE WAS HEARD BY THE NURSE WHILE A MEDICATION WAS BEING ADMINISTERED. THE CODE WAS "CODE 1222". APPROXIMATELY 5 MINUTES LATER A SECOND PUMP ADMINISTERING MAINTENANCE FLUID FAILED AND ALARMED WITH THE SAME CODE ("1222"). PUMPS WERE SUBSEQUENTLY CHANGED OUT.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?MEDICATION AND FLUID ADMINISTRATION.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    239809 * PUMP FRN B. BRAUN MEDICAL INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *