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Adverse Event Report

ABBOTT LABORATORIES PCA INFUSION PUMP   back to search results
Model Number PCA +2
Event Date 01/20/1994
Event Description

Pca pump in pt's room making squealing noise. Alarm malfunctioned and memory was lost.

 
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Brand NamePCA INFUSION PUMP
Type of DeviceINFUSION PUMP
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section F)
ABBOTT LABORATORIES
abbott park IL 60064
Manufacturer (Section D)
ABBOTT LABORATORIES
abbott park IL 60064
Device Event Key14917
MDR Report Key14923
Event Key11710
Report Number14923
Device Sequence Number1
Product CodeMEA
Report Source User Facility
Reporter Occupation Other
Type of Report Initial
Report Date 03/09/1994
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received03/10/1994
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device MODEL NumberPCA +2
Was Device Available For Evaluation? Device Returned To Manufacturer
Date Returned to Manufacturer03/03/1994
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA03/09/1994
Distributor Facility Aware Date01/20/1994
Event Location Hospital
Date Report TO Manufacturer03/09/1994
Is the Device an Implant? No
Is this an Explanted Device?

Database last updated on January 30, 2009

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