FDA Adverse Event Malfunction Summary report: N

4000CMS

MDR report key: 3252637 · Received July 15, 2013

Report

Report Number
1722139-2013-02599
Event Type
Malfunction
Date Received
July 15, 2013
Date of Event
January 1, 2009
Report Date
April 7, 2009
Manufacturer
MOOG DEVICE GROUP
Product Code
FRN
PMA / PMN Number
K981816
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALIBRATED THE VOLUMETRIC AND RESOLVED THE ISSUE.

Description of Event or Problem · 1

INFORMATION RECEIVED STATES THAT VOLUMETRIC INFUSION WAS LOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
327840 4000CMS FRN MOOG DEVICE GROUP 4000CMS

Patients

Seq Age Sex Outcome Treatment
1