BEUDAMED
    FDA Adverse Event Other Summary report: N

    MC-GAW TUBING

    MDR report key: 217898 · Received April 5, 1999

    Report

    Report Number
    MW1016067
    Event Type
    Other
    Date Received
    April 5, 1999
    Date of Event
    April 1, 1999
    Report Date
    April 1, 1999
    Manufacturer
    B BRAUN MEDICAL, INC.
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT RECEIVES TAXOL 100MG, EVERY OTHER WEEK, USING HORIZON IV PUMP WITH SPECIAL TAXOL TUBING (LOW ABSORPTION). PUMP CONTINUOUSLY BEEPING. WHILE TROUBLE SHOOTING, REMOVED TUBING FROM PUMP, AT WHICH TIME RPTR NOTICED A LEAK FROM TUBING. INFUSION STOPPED IMMEDIATELY, CHEMO SPILL KIT USED. NEW TUBING OBTAINED TO COMPLETE INFUSION WITHOUT ANY FURTHER COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MC-GAW TUBING TAXOL TUBING, LOW ABSORPTION FPA B BRAUN MEDICAL, INC. * F8N438

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Other