BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CODON US CORP

    MDR report key: 14944123 · Received July 7, 2022

    Report

    Report Number
    14944123
    Event Type
    Malfunction
    Date Received
    July 7, 2022
    Date of Event
    May 25, 2022
    Report Date
    June 24, 2022
    Manufacturer
    CODAN US CORPORATION
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    WHILE HANGING TOTAL PARENTERAL NUTRITION (TPN) AND LIPIDS FOR PATIENT TRIFURCATED NICU MEDICATION ADMINISTRATION SET, 0.2 MICRON FILTER CONNECTING HUB WOULD NOT PRIME WITH TPN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    967592 CODON US CORP SET, ADMINISTRATION, INTRAVASCULAR FPA CODAN US CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA Female