BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINIMED INFUSION PUMP

    MDR report key: 350163 · Received August 31, 2001

    Report

    Report Number
    2032227-2001-00072
    Event Type
    Malfunction
    Date Received
    August 31, 2001
    Date of Event
    July 31, 2001
    Report Date
    July 31, 2001
    Manufacturer
    MINIMED INC.
    Product Code
    LZG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PUMP WAS RECEIVED WITHOUT A COMPLAINT. THIS IS A LOANER PUMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    39788 MINIMED INFUSION PUMP INFUSION PUMP LZG MINIMED INC. MMT-507CUC NA

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR