FDA Adverse Event
Malfunction
Summary report: N
ECLIPSE HOME PUMP
MDR report key: 55457
·
Received December 13, 1996
Report
- Report Number
- MW1010399
- Event Type
- Malfunction
- Date Received
- December 13, 1996
- Report Date
- October 21, 1996
- Manufacturer
- BLOCK MEDICAL, INC.
- Product Code
- MEB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
PT TRIED TO INFUSE A DOSE BUT PUMP WOULD NOT FUNCTION. PT USED ANOTHER HOME PUMP TO INFUSE. PHARMACY REPLACED DOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ECLIPSE HOME PUMP | ELASTOMERIC PUMP | MEB | BLOCK MEDICAL, INC. | E101000-C | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |