BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EASYPUMP ST 250ML-175ML/HR

    MDR report key: 16789732 · Received April 20, 2023

    Report

    Report Number
    MW5116894
    Event Type
    Injury
    Date Received
    April 20, 2023
    Date of Event
    January 26, 2023
    Report Date
    April 17, 2023
    Manufacturer
    B. BRAUN MEDICAL INDUSTRIES SDN. BHD.
    Product Code
    MEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    ELASTOMERIC PUMP USED FOR ANTIBIOTIC THERAPY LEAKED - DOSE WAS DELAYED/MISSED AS PHARMACY HAD TO REMAKE DOSE AND SHIP TO PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1521805 EASYPUMP ST 250ML-175ML/HR PUMP, INFUSION, ELASTOMERIC MEB B. BRAUN MEDICAL INDUSTRIES SDN. BHD. 4540050

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Male Required Intervention VANCOMYCIN IN NS-01/06/2023-01/25/2023| VANCOMYCIN IN NS-01/27/2023-02/15/2023