FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3252573 · Received July 15, 2013

Report

Report Number
1722139-2013-02660
Event Type
Malfunction
Date Received
July 15, 2013
Date of Event
June 14, 2013
Report Date
June 14, 2013
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION FOUND THAT THE PUMP'S VOLUMETRIC ACCURACY TESTS WERE NOT WITHIN +/-5%. THE PUMP WAS CALIBRATED TO RESOLVE THE ISSUE.

Description of Event or Problem · 1

CUSTOMER REPORTED THAT THE INFUSION WAS LOW DURING TESTING. THEY COULD NOT PROVIDE ANY FURTHER INFO SUCH AS RATE, DOSAGE, OR THE ALLEGED AMOUNT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
327542 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 4000 CMS

Patients

Seq Age Sex Outcome Treatment
1