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