BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CURLIN INFUSION IV PUMP

    MDR report key: 3810367 · Received April 11, 2014

    Report

    Report Number
    1722139-2014-00094
    Event Type
    Malfunction
    Date Received
    April 11, 2014
    Date of Event
    March 13, 2014
    Report Date
    March 13, 2014
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    FRN
    PMA / PMN Number
    K981816
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Additional Manufacturer Narrative · 1

    PUMP'S PLATEN DOOR WAS REPLACED TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    INVESTIGATION FOUND THAT PUMP'S PLATEN DOOR WAS NOT WORKING CAUSING PUMP FAILED THE FREE FLOW TEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    221610 CURLIN INFUSION IV PUMP INFUSION PUMP FRN MOOG MEDICAL DEVICES GROUP 4000 CMS

    Patients

    Seq Age Sex Outcome Treatment
    1