BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER COLLEAGUE CX

    MDR report key: 2093912 · Received May 12, 2011

    Report

    Report Number
    MW5020602
    Event Type
    Injury
    Date Received
    May 12, 2011
    Date of Event
    May 11, 2011
    Report Date
    May 12, 2011
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SET UP PUMP FOR SECONDARY INFUSION AND NOTICED THAT IVPB HAD INFUSED MORE RAPIDLY THAN THE SET RATE. NO HARM TO PT. SENT TO BIO-MED FOR INSPECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER COLLEAGUE CX SINGLE CHANNEL IV PUMP FRN

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention