BEUDAMED
    FDA Adverse Event Summary report: N

    INFUSOMAT SPACE - US VERSION

    MDR report key: 3769867 · Received April 17, 2014

    Report

    Report Number
    2523676-2014-00123
    Date Received
    April 17, 2014
    Date of Event
    August 26, 2013
    Report Date
    March 21, 2014
    Manufacturer
    B. BRAUN MELSUNGEN AG
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    AS REPORTED BY THE USER FACILITY: TRANSFUSING BLOOD PUMP JNE 4130 REPEATEDLY ALARMING AIR. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    236671 INFUSOMAT SPACE - US VERSION INFUSION PUMP FRN B. BRAUN MELSUNGEN AG NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK