BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CURLIN INFUSION IV PUMP

    MDR report key: 3810368 · Received April 11, 2014

    Report

    Report Number
    1722139-2014-00093
    Event Type
    Malfunction
    Date Received
    April 11, 2014
    Date of Event
    February 27, 2014
    Report Date
    March 18, 2014
    Manufacturer
    MOOG MEDICAL DEVICES GROUP
    Product Code
    FRN
    PMA / PMN Number
    K981816
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION FOUND THE PLATEN DOOR BENT DUE TO IMPACT CAUSING IT TO NOT DELIVER FLUID. PUMP'S PLATEN DOOR WAS REPLACED TO RESOLVE THE ISSUE.

    Description of Event or Problem · 1

    PT SAYS THE PUMP SHOWS IT IS RUNNING BUT THERE IS NO INFUSION. THERE WAS NO PT IMPACT REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    221530 CURLIN INFUSION IV PUMP INFUSION PUMP FRN MOOG MEDICAL DEVICES GROUP 4000 CMS

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR HYDRATION