FDA Adverse Event Malfunction Summary report: N

ENTERALITE INFINITY ENTERAL FEEDING PUMP

MDR report key: 3850828 · Received March 21, 2014

Report

Report Number
1722139-2014-00066
Event Type
Malfunction
Date Received
March 21, 2014
Date of Event
February 12, 2014
Report Date
February 26, 2014
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
LZH
PMA / PMN Number
K981816
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

PUMP HAS BEEN TESTED SEVERAL TIMES USING WATER, AND EACH TIME WHEN BAG WAS EMPTY PUMP STOPPED PUMPING AND ALARMING NO FOOD (OR PUMP FINISH DOSE: ALARMING "DOSE DONE"). ALL ALARMS HAVE BEEN CHECKED AND WORK PROPERLY. COMPLAINT COULD NOT BE DUPLICATED.

Description of Event or Problem · 1

CUSTOMER STATED THAT THE PUMP IS RUNNING AFTER THE BAG IS EMPTY. RATE AND DOSAGE PROVIDED ARE 37 ML/HR AND 360 ML. THERE WAS NO PATIENT IMPACT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
170471 ENTERALITE INFINITY ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICES GROUP SMALL VOLUME INFINI

Patients

Seq Age Sex Outcome Treatment
1 6 MO