BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MW5075688

    MDR report key: 7316877 · Received March 5, 2018

    Report

    Report Number
    MW5075688
    Event Type
    Malfunction
    Date Received
    March 5, 2018
    Date of Event
    February 23, 2018
    Report Date
    February 23, 2018
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PATIENT CADD MS3 PUMP SN (B)(4) WILL NOT START DELIVERY OF DRUG. INFORMED HER WE WOULD SEND OUT A NEW PUMP WITH TOMORROW'S SHIPMENT. NO OTHER INFORMATION PROVIDED. DOSE OR AMOUNT: 30 NKM. FREQUENCY: CONTINUOUS. ROUTE: SQ. DATES OF USE: (B)(6) 2014 TO ONGOING.

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR