BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CADD-LEGACY PUMP

    MDR report key: 7712342 · Received July 23, 2018

    Report

    Report Number
    3012307300-2018-02851
    Event Type
    Malfunction
    Date Received
    July 23, 2018
    Date of Event
    June 7, 2018
    Report Date
    July 23, 2018
    Manufacturer
    SMITHS MEDICAL ASD, INC.
    Product Code
    FRN
    UDI-DI
    10610586019548
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    INFORMATION WAS RECEIVED THAT THE CADD LEGACY PUMP HAS TWO BEEPS AND NO ERROR MESSAGE. DIAGNOSIS OR REASON FOR USE: PAH. DOSE OR AMOUNT: 30 NKM, FREQUENCY: CONTINUOUS, ROUTE: SUB Q. NO REPORTED ADVERSE EFFECTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    553925 CADD-LEGACY PUMP PUMP, INFUSION FRN SMITHS MEDICAL ASD, INC. 6400 10610586019548

    Patients

    Seq Age Sex Outcome Treatment
    1