BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABBOTT

    MDR report key: 505113 · Received December 17, 2003

    Report

    Report Number
    MW1030641
    Event Type
    Injury
    Date Received
    December 17, 2003
    Date of Event
    November 19, 2003
    Report Date
    December 8, 2003
    Manufacturer
    ABBOTT CRITICAL CARE SYSTEMS / ABBOTT LABORATORIES
    Product Code
    FRN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ME, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PLUM A IV PUMP FRN ABBOTT CRITICAL CARE SYSTEMS / ABBOTT LABORATORIES PLUM A+ *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Required Intervention