BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MCGAW HORIZON HXT

    MDR report key: 541273 · Received July 12, 2004

    Report

    Report Number
    MW1032593
    Event Type
    Malfunction
    Date Received
    July 12, 2004
    Date of Event
    June 24, 2004
    Report Date
    July 12, 2004
    Manufacturer
    B. BRAUN MEDICAL
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MCGAW HORIZON NXT IV PUMP IN DOSE MODE FOR DOBUTAMINE 12.6 CC/HR. IV PUMP BATTERY LOW. TURNED OFF. TURNED BACK ON. RATE NOTED TO NOW BE AT 100 CC/HR. RATE IMMEDIATELY DECREASED TO 12.6 CC/HR. PT MAY HAVE RECEIVED THIS RATE FOR APPROX 10-15 MINS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MCGAW HORIZON HXT IV PUMP FRN B. BRAUN MEDICAL NXT *

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Other