BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IMED

    MDR report key: 334812 · Received May 21, 2001

    Report

    Report Number
    334812
    Event Type
    Malfunction
    Date Received
    May 21, 2001
    Date of Event
    January 1, 1900
    Report Date
    April 12, 2001
    Manufacturer
    MEDIQ - PRN
    Product Code
    LZG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CHEMOTHERAPY WAS TO BE INFUSED IN 22 HOURS - COMPLETED AT 1900. ALL SETTINGS IN THE PUMP WERE VERIFIED & DEEMED CORRECT. CHEMO WAS BEGUN AT 2300 ON 4/10/01. COMPLETED AT 1900.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23862 IMED IV INFUSION PUMP LZG MEDIQ - PRN I MED *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other