FDA Adverse Event
Malfunction
Summary report: N
ICU MEDICAL
MDR report key: 19749367
·
Received July 16, 2024
Report
- Report Number
- 19749367
- Event Type
- Malfunction
- Date Received
- July 16, 2024
- Date of Event
- March 4, 2024
- Report Date
- April 24, 2024
- Manufacturer
- ICU MEDICAL, INC.
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
WHEN MAKING A HAZARDOUS CHEMOTHERAPY, THE CHEMOCLAVE FELL APART RESULTING IN DRUG LOSS AND SPILLAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 722976 | ICU MEDICAL | SET, ADMINISTRATION, INTRAVASCULAR | FPA | ICU MEDICAL, INC. | CL2000SCP | 13850234 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |