BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAXTER

    MDR report key: 153722 · Received February 27, 1998

    Report

    Report Number
    MW1013086
    Event Type
    Malfunction
    Date Received
    February 27, 1998
    Date of Event
    February 21, 1998
    Report Date
    February 24, 1998
    Manufacturer
    ALLEGIANCE HEALTHCARE CORP.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PUMP SET AT RATE OF 100 CC/HR W/1000CC BAG HUNG AT 1130. AT 1430 PUMP READ 225CC HAD INFUSED WITH 715 LEFT TO INFUSE. BAG ONLY HAD 200CC LEFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER 6201 ELECTRONIC PUMP FRN ALLEGIANCE HEALTHCARE CORP. 6201 2M8063 *

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Other