BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INFUSION PUMP, UNKNOWN

    MDR report key: 3910653 · Received July 2, 2014

    Report

    Report Number
    3007566237-2014-01860
    Event Type
    Injury
    Date Received
    July 2, 2014
    Report Date
    June 11, 2014
    Manufacturer
    MEDTRONIC NEUROMODULATION
    Product Code
    LKK
    PMA / PMN Number
    P860004
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID NEU_UNKNOWN_CATH, SERIAL# UNKNOWN, PRODUCT TYPE: CATHETER. (B)(4).

    Description of Event or Problem · 1

    IT WAS REPORTED THE HEALTHCARE PROFESSIONAL (HCP) HAD A PATIENT, WITH A PAIN PUMP, WHO "STOOPED DOWN IN A STORE TO PICK SOMETHING UP AND BECAME PARALYZED". THE MEDICATION IN THE PUMP WAS UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    386333 INFUSION PUMP, UNKNOWN PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability