BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INFUSOMAT SPACE - US VERSION

    MDR report key: 3913223 · Received June 4, 2014

    Report

    Report Number
    2523676-2014-00222
    Event Type
    Malfunction
    Date Received
    June 4, 2014
    Date of Event
    April 6, 2014
    Report Date
    May 30, 2014
    Manufacturer
    B. BRAUN MELSUNGEN AG
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    326209 INFUSOMAT SPACE - US VERSION INFUSION PU,P FRN B. BRAUN MELSUNGEN AG NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK