FDA Adverse Event
Malfunction
Summary report: N
WARMER, THERMAL, INFUSION FLUID PRODUCT CODE: LGZ
MDR report key: 8698572
·
Received June 14, 2019
Report
- Report Number
- 3012307300-2019-03617
- Event Type
- Malfunction
- Date Received
- June 14, 2019
- Date of Event
- March 1, 2019
- Report Date
- June 13, 2019
- Manufacturer
- SMITHS MEDICAL ASD, INC.
- Product Code
- LGZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NO ITEM NUMBER OR LOT NUMBER WAS PROVIDED.
Description of Event or Problem · 1
INFORMATION WAS RECEIVED THAT A SMITHS MEDICAL "LEVEL 1-TOWER, KEEPS ALARMING WITH DISPOSABLE SET". NO ADVERSE EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 493259 | WARMER, THERMAL, INFUSION FLUID PRODUCT CODE: LGZ | LGZ | SMITHS MEDICAL ASD, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |