| Brand Name | LIFECARE PLUM XL PUMP |
| Type of Device | INFUSION PUMP |
| Baseline Brand Name | LIFECARE PLUM XL PUMP |
| Baseline Generic Name | INFUSION PUMP |
| Baseline Catalogue Number | 11555 |
| Baseline Device Family | PUMP, INFUSION |
| Baseline Device 510(K) Number | K953660 |
| Is Baseline PMA Number Provided? |
No
|
| Baseline Preamendment? |
No
|
| Transitional? |
No
|
| 510(K) Exempt? |
No
|
| Shelf Life(Months) | NA |
| Date First Marketed | 01/01/1993 |
| Manufacturer (Section D) |
| ABBOTT LABORATORIES |
| 755 jarvis dr. |
| morgan hill CA 95037 |
|
| Manufacturer (Section G) |
| ABBOTT LABORATORIES |
| 755 jarvis dr. |
|
| morgan hill CA 95037 |
|
| Manufacturer Contact |
|
frank
pokrop, assoc director
|
| dept 389, ap30 |
| 200 abbott park rd |
| abbott park
, IL 60064-6157 |
| (847)
937
-8473
|
|
| Device Event Key | 243952 |
| MDR Report Key | 251892 |
| Event Key | 236134 |
| Report Number | 2921482-1999-00240 |
| Device Sequence Number | 1 |
| Product Code | FRN |
| Report Source |
Manufacturer
|
| Source Type |
Foreign,Health Professional,Company Representative
|
| Reporter Occupation |
NOT APPLICABLE
|
| Remedial Action |
Other
|
| Type of Report
| Initial,Followup |
| Report Date |
10/21/1999 |
| 1 Device Was Involved in the Event | |
| 1 Patient Was Involved in the Event | |
| Date FDA Received | 11/19/1999 |
| Is This An Adverse Event Report? |
No
|
| Is This A Product Problem Report? |
Yes
|
| Device Operator |
Health Professional
|
| Device Catalogue Number | 11555 |
| Was Device Available For Evaluation? |
Yes
|
| Is The Reporter A Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Date Manufacturer Received | 10/21/1999 |
| Was Device Evaluated By Manufacturer? |
Yes
|
| Date Device Manufactured | 04/01/1994 |
| Is The Device Single Use? |
No
|
| Is the Device an Implant? |
No
|
| Is this an Explanted Device? |
|
| Type of Device Usage |
Reuse
|
| Patient TREATMENT DATA |
| Date Received: 11/19/1999 Patient Sequence Number: 1 |
| # | Treatment | Treatment Date |
| 1,UNK |
|
|
|