FDA Adverse Event Malfunction Summary report: N

PLUM A+

MDR report key: 530399 · Received March 2, 2004

Report

Report Number
2921482-2004-00121
Event Type
Malfunction
Date Received
March 2, 2004
Date of Event
February 1, 2004
Report Date
February 6, 2004
Manufacturer
ABBOTT LABS
Product Code
FPA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORT REC'D THAT THE DEVICE DID NOT AUDIBLY ALARM BEFORE POWERING OFF. THE PUMP WAS RETURNED TO THE CLINICAL ENGINEERING DEPT WITH A NOTE THAT IT "FAILED TO AUDIBLY ALARM BEFORE SHUTTING OFF." NO TRACKING INFO WAS PROVIDED; THEREFORE, SPECIFIC PT INFO, PUMP PROGRAMMING, OR EVENT DETAILS WERE NOT AVAILABLE. THOUGH REQUESTED, NO ADD'L INFO WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PLUM A+ INFUSION PUMP FPA ABBOTT LABS NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other PLUM A+ SOFTWARE MODULE, LIST# 12393.