BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENTERALITE INFINITY EFP

    MDR report key: 4201116 · Received September 16, 2014

    Report

    Report Number
    1722139-2014-00141
    Event Type
    Malfunction
    Date Received
    September 16, 2014
    Date of Event
    August 7, 2014
    Report Date
    August 9, 2014
    Manufacturer
    MOOG MEDICAL DEVICE GROUP
    Product Code
    LZH
    PMA / PMN Number
    K031199
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE RETURNED. COMPLAINT COULD NOT BE CONFIRMED.

    Description of Event or Problem · 1

    INFO INDICATES PUMP SHUTS OFF WITHOUT ALARMS AND FRONT CASE LETTERING IS FADED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    572610 ENTERALITE INFINITY EFP ENTERAL FEEDING PUMP LZH MOOG MEDICAL DEVICE GROUP EFP

    Patients

    Seq Age Sex Outcome Treatment
    1