FDA Adverse Event
Malfunction
Summary report: N
EASYPUMP 270/10
MDR report key: 16278831
·
Received January 31, 2023
Report
- Report Number
- MW5114610
- Event Type
- Malfunction
- Date Received
- January 31, 2023
- Date of Event
- November 11, 2022
- Report Date
- January 29, 2023
- Manufacturer
- B. BRAUN MEDICAL INDUSTRIES SDN. BHD.
- Product Code
- MEB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- UT, US
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
FOUND LIQUID AROUND ONE OF THE DOSES WHEN CHECKING DOSES AFTER COMPOUNDING. AFTER WATCHING IT FURTHER, FOUND THAT IT WAS LEAKING FROM THE END WHERE THE TUBING IS ATTACHED. NO CRACKS OR DEFECTS WERE VISIBLE. HAD TECH REMAKE ONE DOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 903144 | EASYPUMP 270/10 | PUMP, INFUSION, ELASTOMERIC | MEB | B. BRAUN MEDICAL INDUSTRIES SDN. BHD. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female |