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