BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER INTERLINK SYSTEM

    MDR report key: 19219 · Received August 11, 1993

    Report

    Report Number
    19219
    Event Type
    Injury
    Date Received
    August 11, 1993
    Date of Event
    June 8, 1993
    Report Date
    June 10, 1993
    Manufacturer
    BAXTER HEALTHCARE CORP.
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MEW SOFT I.V. EXTENSION TUBING FOLDED ON ITSELF (HAD ADEQUATE TAPING TO PT'S ARM). CAUSING PT'S B.P. TO GO UP AND THEN BOTTOM OUT. NO HARM TO PT. AFTER DISCOVERING FOLDED TUBING. PERSON WHO ADMIN IS TERRED THE I.V. WAS 002.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER INTERLINK SYSTEM 20" EXTENSION SET BAXTER HEALTHCARE CORP. 2C6606 Z106526

    Patients

    Seq Age Sex Outcome Treatment
    1 55 * Life Threatening| R