BEUDAMED
    FDA Adverse Event Other Summary report: N

    PLUM PUMP XL

    MDR report key: 752403 · Received August 22, 2005

    Report

    Report Number
    MW1036434
    Event Type
    Other
    Date Received
    August 22, 2005
    Date of Event
    June 19, 2005
    Report Date
    June 25, 2005
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IV PLUM PUMP ABBOTT LABORATORIES, WITH CONTINUOUS DRIP OF INTEGRILIN FOR ACUTE CORONARY SYNDROME INFUSING. DATA SCREEN WENT BLACK-DISPLAY NOT VISIBLE & WOULD NOT RETURN. WALL OUTLET FUNCTIONAL. IV PUMP CHANGED OUT & TAGGED FOR REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUM PUMP XL IV PUMP FRN ABBOTT LABORATORIES * *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other