FDA Adverse Event
Malfunction
Summary report: N
CRONO 5 SYRINGE PUMP
MDR report key: 9769940
·
Received February 27, 2020
Report
- Report Number
- MW5093373
- Event Type
- Malfunction
- Date Received
- February 27, 2020
- Report Date
- February 18, 2020
- Manufacturer
- INTRA PUMP INFUSION SYSTEM / CANE' S.P.A.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
PER SPONTANEOUS CALL FROM PT, HER CRONO PUMP SN (B)(4) IS GIVING AN "ERROR ALARM". I WAS ABLE TO TROUBLESHOOT IT WITH HER ON THE PHONE, BUT SHE WANTS US TO SEND A NEW PUMP. SENDING FOR TOMORROW. SHE WILL RETURN THE "BROKEN" PUMP TO US. NO HARM TO PT. SHE HAS BEEN USING HER BACKUP PUMP. NO FURTHER INFO AVAILABLE. REPORTED TO (B)(6) BY PT/CAREGIVER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 230369 | CRONO 5 SYRINGE PUMP | PUMP, INFUSION | FRN | INTRA PUMP INFUSION SYSTEM / CANE' S.P.A. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |