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