FDA Adverse Event
Injury
Summary report: N
WALKMED
MDR report key: 7109632
·
Received December 12, 2017
Report
- Report Number
- 3000204189-2017-00017
- Event Type
- Injury
- Date Received
- December 12, 2017
- Date of Event
- November 13, 2017
- Report Date
- December 11, 2017
- Manufacturer
- WALKMED, LLC
- Product Code
- FRN
- PMA / PMN Number
- K991275
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
NURSE FROM CLINIC NOTIFIED WALKMED, A PATIENT RETURNED EARLY FOR A COMPLETED TREATMENT. NURSES CONFIRM PUMPS SETTINGS AND LOCKED SETTING PRIOR TO RELEASE. PUMP WAS RETURNED WITH AN INCREASED DELIVERY RATE AND THE PUMP WAS UNLOCKED. NO PATIENT ADVERSE EFFECTS OR INJURY NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 888804 | WALKMED | WALKMED 350 VL | FRN | WALKMED, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |