FDA Adverse Event
Malfunction
Summary report: N
BODYGUARD
MDR report key: 8565329
·
Received April 29, 2019
Report
- Report Number
- MW5086274
- Event Type
- Malfunction
- Date Received
- April 29, 2019
- Date of Event
- March 12, 2019
- Report Date
- April 3, 2019
- Manufacturer
- CME AMERICA, LLC
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
BODYGUARD 323 PUMP WAS GIVING "MISSING KEY" ERROR CODE. CALLED MFR AND THEY SAID THE PUMP MUST BE SENT OFF FOR REPAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 356502 | BODYGUARD | PUMP, INFUSION | FRN | CME AMERICA, LLC | 323 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 18 YR |