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 |