BEUDAMED
    FDA Adverse Event Summary report: N

    HOMEPUMP

    MDR report key: 18167 · Received December 2, 1994

    Report

    Report Number
    MW1004263
    Date Received
    December 2, 1994
    Date of Event
    October 24, 1994
    Report Date
    November 1, 1994
    Manufacturer
    BLOCK MEDICAL, INC.
    Product Code
    MEB
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    SLOW INFUSION AND NO INFUSION OF 100 ML PUMPS. RETURNED 13 PUMPS TO MFR. SUSPECT GANCYCLOVIR PRECIPITATE CLOGGING OF IN-LINE FILTER. IF PUMPS NOT PRIMED (IE-NO SOLUTION IN TUBING) INFUSION IS OK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOMEPUMP MEB BLOCK MEDICAL, INC. H101000

    Patients

    Seq Age Sex Outcome Treatment
    1 *