BEUDAMED
    FDA Adverse Event Other Summary report: N

    MCGAW, INC.

    MDR report key: 115144 · Received August 15, 1997

    Report

    Report Number
    115144
    Event Type
    Other
    Date Received
    August 15, 1997
    Date of Event
    July 22, 1997
    Report Date
    August 6, 1997
    Manufacturer
    MCGAW, INC.
    Product Code
    FPB
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE ASSESSING PT'S LINES-FOUND TPN FILTER TO BE GRAY COLOR WITH BLACK FUZZY SUBSTANCE THROUGHOUT. CHANGED FILTER. ADVISED WHERE IT WAS FOUND. (RSC-TL STERILE PORT INFUSING D20, CENTRAL HYPERAL HAD RUN OUT EARLIER IN DAY) RSC-TL DISCONTINUED WITH C/S OF TID AND ICS DONE-AS WITH THE LIJ-ARROW INTRODUCER BEFORE IT WAS GUIDEWIRED TO A QL FOR INTRAVENOUS FLUID ACCESS. PT HAD BEEN SPIKING FEVERS TO 104 SINCE BEFORE 7P.M. PVP ISOLATOR, SPUTUM GRAM STAIN AND UA SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MCGAW, INC. TPN FILTER FPB MCGAW, INC. * F7C285 OR F6L127

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other