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 |