BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VIAL-MATE

    MDR report key: 17375779 · Received July 24, 2023

    Report

    Report Number
    17375779
    Event Type
    Malfunction
    Date Received
    July 24, 2023
    Date of Event
    June 24, 2023
    Report Date
    June 29, 2023
    Manufacturer
    BAXTER INTERNATIONAL INC.
    Product Code
    LHI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    ME
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    FROM STAFF: 2 RN'S HAVE MENTIONED THAT TRANSFER DEVICE IS BREAKING IN TWO WHEN TRYING TO BREAK THE SEAL TO TRANSFER THE DEXTROSE SOLUTION TO THE POWDERED ANTIBIOTIC.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    239989 VIAL-MATE SET, I.V. FLUID TRANSFER LHI BAXTER INTERNATIONAL INC. 2B8071 FR22F03024

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown