BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IV TUBING LABEL

    MDR report key: 14851540 · Received June 29, 2022

    Report

    Report Number
    14851540
    Event Type
    Malfunction
    Date Received
    June 29, 2022
    Date of Event
    May 16, 2022
    Report Date
    June 20, 2022
    Manufacturer
    PRECISION DYNAMCIS CORPORATION
    Product Code
    LYV
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    RECEIVED REPORTS FROM SEVERAL STAFF IN BOTH BURN AND SICU THAT GREEN IV DATE STICKERS NOT ADHERING WELL AND FALLING OFF IV LINES.

    Description of Event or Problem · 0

    RECEIVED REPORTS FROM SEVERAL STAFF IN BOTH BURN AND SICU THAT GREEN IV DATE STICKERS NOT ADHERING WELL AND FALLING OFF IV LINES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2017382 IV TUBING LABEL LABEL OR TAG, STERILE LYV PRECISION DYNAMCIS CORPORATION MV06FG4740

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other