FDA Adverse Event Malfunction Summary report: N

CURLIN INFUSION IV PUMP

MDR report key: 3933746 · Received April 2, 2014

Report

Report Number
1722139-2014-00078
Event Type
Malfunction
Date Received
April 2, 2014
Date of Event
September 13, 2007
Report Date
March 25, 2014
Manufacturer
MOOG MEDICAL DEVICES GROUP
Product Code
FRN
PMA / PMN Number
K981816
Removal / Correction Number
Z-1870-2011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

NEW PUMP SOFTWARE WAS INSTALLED. REFERENCE RECALL NUMBER Z-1870-2011.

Description of Event or Problem · 1

INVESTIGATION FOUND THAT PUMP HAD EXPERIENCED THE ERROR CODE 45 IN PUMP'S HISTORY LOG. EVENT DATES ARE (B)(6) 2007, (B)(6) 2008, (B)(6) 2009, (B)(6) 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
196927 CURLIN INFUSION IV PUMP FRN MOOG MEDICAL DEVICES GROUP 6000 PAINSMART IOD

Patients

Seq Age Sex Outcome Treatment
1