FDA Adverse Event
Malfunction
Summary report: N
BODYGUARD 545 PCA INFUSION PUMP
MDR report key: 8394010
·
Received March 6, 2019
Report
- Report Number
- 8394010
- Event Type
- Malfunction
- Date Received
- March 6, 2019
- Date of Event
- January 29, 2019
- Report Date
- February 12, 2019
- Manufacturer
- CAESAREA MEDICAL ELECTRONICS LTD.
- Product Code
- MEA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ABOUT 5 MINUTES PRIOR TO OBSERVING THE DEVICE SHUTDOWN, THE PUMP EMITTED AN UNFAMILIAR BEEPING AND THE GREEN LIGHT WAS BLINKING. THE SCREEN READ "NEAR END". THE RESPIRATORY THERAPIST CLEARED THE ERROR; THEN, THE DEVICE SHUT DOWN SHORTLY AFTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 189449 | BODYGUARD 545 PCA INFUSION PUMP | PUMP, INFUSION, PCA | MEA | CAESAREA MEDICAL ELECTRONICS LTD. | 545 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |