FDA Adverse Event Malfunction Summary report: N

CRONO FIVE 2.5MG/ML

MDR report key: 7995114 · Received October 22, 2018

Report

Report Number
MW5080749
Event Type
Malfunction
Date Received
October 22, 2018
Report Date
October 8, 2018
Manufacturer
CANE S.R.L. MEDICAL TECHNOLOGY/INTRA PUMP INFUSION SYSTEM
Product Code
FRN
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

PATIENT INFORMED PHARMACY THAT CRONO PUMP FOR REMODULIN IV SERIAL NUMBER (B)(4) WAS ALARMING WITH NO ERROR MESSAGE. SHE TRIED SWITCHING BATTERIES BUT THAT DIDN'T HELP EITHER. PHARMACY WILL SEND HER A PUMP REPLACEMENT AND RETURN BOX FOR MALFUNCTIONING PUMP. SHE DID NOT MISS ANY THERAPY AS HER OTHER PUMP IS WORKING FINE. NO OTHER INFORMATION PROVIDED. REPORTED TO (B)(6) BY: PATIENT/CAREGIVER. DOSE OR AMOUNT: 1.8NG/KG/MIN, FREQUENCY: CONTINUOUS, ROUTE: IV. DATES OF USE: FROM (B)(6) 2017 TO CURRENT. DIAGNOSIS OR REASON FOR USE: PAH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
830326 CRONO FIVE 2.5MG/ML PUMP, INFUSION FRN CANE S.R.L. MEDICAL TECHNOLOGY/INTRA PUMP INFUSION SYSTEM

Patients

Seq Age Sex Outcome Treatment
1