BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ATLANTA BIOMEDICAL CORPORATION (ABC) INFUSION PUMP

    MDR report key: 5382476 · Received January 21, 2016

    Report

    Report Number
    5382476
    Event Type
    Malfunction
    Date Received
    January 21, 2016
    Date of Event
    October 11, 2015
    Report Date
    December 30, 2015
    Manufacturer
    ELIXIR CORPORATION
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE SYRINGE PUMP ALARMED FOR VOLUME DELIVERED. FOUND THE SYRINGE WAS NOT ENGAGED INTO THE PINCH CLAMP AND PUMP WAS RUNNING AS IF DELIVERING THE FEEDING. NO FEEDING WAS DELIVERED. ENTIRE FEEDING WAS LEFT IN THE SYRINGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    42535 ATLANTA BIOMEDICAL CORPORATION (ABC) INFUSION PUMP PUMP, INFUSION FRN ELIXIR CORPORATION 4100

    Patients

    Seq Age Sex Outcome Treatment
    1 0 YR