D
Patient 1
INFORMATION WAS RECEIVED INDICATING THAT A SMITHS MEDICAL CADD LEGACY 1 PUMP HAD AN ERROR CODE 1720 DURING TESTING. THERE WAS NO PATIENT INVOLVEMENT.
MAUDE MDR 9908370
- MDR report key
- 9908370
- Report number
- 3012307300-2020-02560
- Event key
- 0
- Event type
- 3
- Date received
- 2020-03-31
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 3
Manufacturer Contact#
- Contact
- DAVE HALVERSON
- Address
- 6000 NATHAN LANE NORTH MINNEAPOLIS, MN US
- Phone
- 383-383-3833
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | CADD LEGACY 1 PUMP | PUMP, INFUSION | SMITHS MEDICAL ASD, INC. | FRN | 6400 | 21-6400-51 | N | R |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2020-03-31 | 0 |