BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MW5077770

    MDR report key: 7591099 · Received June 11, 2018

    Report

    Report Number
    MW5077770
    Event Type
    Malfunction
    Date Received
    June 11, 2018
    Date of Event
    June 1, 2018
    Report Date
    June 1, 2018
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PATIENT REPORTS ONE OF HIS PUMPS INDICATE BLOCKAGE IN TUBING BUT AFTER INSPECTING THE TUBING NO BLOCKAGE FOUND. NO OTHER INFORMATION KNOWN. DOSE OR AMOUNT: REMODULIN 81 NKM. FREQUENCY: CONTINUOUS. ROUTE: IV. DATES OF USE: (B)(6) 2014 TO ONGOING.

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR