BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINICAP PD TRANSFER SET (EASY-LOCK) WITH TWIST CLAMP

    MDR report key: 1230845 · Received November 17, 2008

    Report

    Report Number
    1423500-2007-00086
    Event Type
    Malfunction
    Date Received
    November 17, 2008
    Date of Event
    February 15, 2007
    Report Date
    February 16, 2007
    Manufacturer
    BAXTER HEALTHCARE CORPORATION
    Product Code
    KDJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    BAXTER REPORTED A CRACKED TRANSFER SET. NO PATIENT INJURY OR MEDICAL INTERVENTION WAS ASSOCIATED WITH THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINICAP PD TRANSFER SET (EASY-LOCK) WITH TWIST CLAMP TRANSFER SETS KDJ BAXTER HEALTHCARE CORPORATION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1