FDA Adverse Event
Malfunction
Summary report: N
SYMBIQ
MDR report key: 1940887
·
Received December 14, 2010
Report
- Report Number
- 1940887
- Event Type
- Malfunction
- Date Received
- December 14, 2010
- Date of Event
- December 13, 2010
- Report Date
- December 14, 2010
- Manufacturer
- HOSPIRA
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- KY, US
Narratives
Description of Event or Problem · 1
IV TUBING STARTED LEAKING AT BLUE HUB.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SYMBIQ | IV TUBING SET | FPA | HOSPIRA | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |