FDA Adverse Event Malfunction Summary report: N

CRONO INFUSION PUMP

MDR report key: 7521625 · Received May 16, 2018

Report

Report Number
MW5077269
Event Type
Malfunction
Date Received
May 16, 2018
Date of Event
May 9, 2018
Report Date
May 9, 2018
Manufacturer
CANE SPA MEDICAL TECHNOLOGY
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

(B)(4) FROM PATIENT REPORTING A PUMP PROBLEM. PUMP WAS IN USE AS USUAL WHEN ERROR SCREEN SAID THERE WAS OCCLUSION. I EXPLAINED THAT SHE SHOULD DISCONNECT AND RECONNECT, BUT SHE STATED SHE UNDID ALL THE PARTS AND EVEN REMOVED AND REINSERTED BATTERY AND IT STILL SAID OCCLUSION. WHEN SHE SWITCHED TO HER OTHER PUMP, IT WORKED PERFECTLY FINE. TOLD PATIENT WE CAN REPLACE PUMP (S/N (B)(4)). DATES OF USE: (B)(6) 2017 TO ONGOING. DIAGNOSIS OR REASON FOR USE: PAH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
363429 CRONO INFUSION PUMP CRONO 6 INFUSION PUMP FRN CANE SPA MEDICAL TECHNOLOGY

Patients

Seq Age Sex Outcome Treatment
1 27 YR