BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    COVIDIEN

    MDR report key: 3820330 · Received May 15, 2014

    Report

    Report Number
    MW5036134
    Event Type
    Malfunction
    Date Received
    May 15, 2014
    Date of Event
    May 12, 2014
    Report Date
    May 13, 2014
    Manufacturer
    COVIDIEN
    Product Code
    KNT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    FEEDING PUMP NOT ALARMING AND FEEDING NOT INFUSING - PUMP REMOVED AND CLEANED AND SEQUESTERED IN THE RISK/QUALITY MANAGEMENT OFFICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    290966 COVIDIEN FEEDING PUMP KNT COVIDIEN

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR