FDA Adverse Event
Malfunction
Summary report: N
EASY PUMP
MDR report key: 16437474
·
Received February 23, 2023
Report
- Report Number
- MW5115165
- Event Type
- Malfunction
- Date Received
- February 23, 2023
- Date of Event
- January 17, 2023
- Report Date
- February 20, 2023
- Manufacturer
- B. BRAUN MEDICAL INC.
- Product Code
- MEB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
BBRAUN EASYPUMP 250/250, LOT: 22D5GE712, EXP: 04/01/2027 LEAKED IN THE CLEAN ROOM WHILE COMPOUNDING FOR A PATIENT. THE PRODUCT LEAKED WHERE THE TUBING OF THE EASYPUMP CONNECTS TO THE "BALL" OF THE PRODUCT; 5 BALLS LEAKED AND REQUIRED US HAVING TO REMIX. THESE BALLS NEVER MADE IT TO THE PATIENT. THE INCIDENT WAS REPORTED TO THE MANUFACTURER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 856582 | EASY PUMP | PUMP, INFUSION, ELASTOMERIC | MEB | B. BRAUN MEDICAL INC. | 250/250 | 22D25GE712 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Prefer Not To Disclose | BED BALL X 5| MEROPENEM| SODIUM CHLORIDE | STERILE WATER |