BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INFUSOMAT SPACE - US VERSION

    MDR report key: 3770136 · Received April 17, 2014

    Report

    Report Number
    2523676-2014-00124
    Event Type
    Injury
    Date Received
    April 17, 2014
    Date of Event
    December 30, 2013
    Report Date
    March 21, 2014
    Manufacturer
    B. BRAUN MELSUNGEN AG
    Product Code
    FRN
    Adverse Event
    Yes
    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: "NURSE REMOVED PUMP FROM STATION TO REARRANGE HOW DRIPS WHEN PUMP WAS REMOVED THE RED LIGHT BEGAN FLASHING AND THE PUMP STOPPED WORKING AND SHE WAS NOT ABLE TO OPEN THE PUMP. THE NIPRIDE STOPPED INFUSING AND PT BP WENT UP BEFORE NURSE GET ANOTHER BAG OF NIPRIDE M.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    236262 INFUSOMAT SPACE - US VERSION INFUSION PUMP FRN B. BRAUN MELSUNGEN AG NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK