FDA Adverse Event
Malfunction
Summary report: N
CODAN IVSTAR
MDR report key: 23154364
·
Received September 26, 2025
Report
- Report Number
- 23154364
- Event Type
- Malfunction
- Date Received
- September 26, 2025
- Date of Event
- September 8, 2025
- Report Date
- September 18, 2025
- Manufacturer
- CODAN US CORPORATION
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MD
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
NURSES REPORTED SEVERAL PATIENTS WITH PARENTERAL NUTRITION LEAKING AT OR AROUND THE 1.2 MICRON LIPID FILTER IN THE IV LINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2112853 | CODAN IVSTAR | SET, ADMINISTRATION, INTRAVASCULAR | FPA | CODAN US CORPORATION | 250424-00008858 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Male |