BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDEX TRANSTAR KIDS KIT 19 IN CLOSED BLOOD SAMPLE KIT

    MDR report key: 1561882 · Received December 14, 2009

    Report

    Report Number
    MW5014010
    Event Type
    Other
    Date Received
    December 14, 2009
    Date of Event
    November 26, 2009
    Report Date
    December 11, 2009
    Manufacturer
    MEDEX
    Product Code
    CBT
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FLUID WAS FOUND TO BE LEAKING FROM THE STOPCOCK. THIS WAS A NEW TRANSDUCER THAT WAS BEING HOOKED UP FOR A UAC, AND IT WAS LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDEX TRANSTAR KIDS KIT 19 IN CLOSED BLOOD SAMPLE KIT CLOSED BLOOD SAMPLE KIT CBT MEDEX 1212735

    Patients

    Seq Age Sex Outcome Treatment
    1 14 DA Other