BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IVAC VENTED/UNVENTED TUBING

    MDR report key: 232020 · Received July 15, 1999

    Report

    Report Number
    MW1016734
    Event Type
    Malfunction
    Date Received
    July 15, 1999
    Date of Event
    June 21, 1999
    Report Date
    June 22, 1999
    Manufacturer
    ALARIS MEDICAL SYSTEMS, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    UNVENTED/VENTED IVAC TUBING UNABLE TO PRIME WITH INTRAVENOUS FLUIDS. IVAC LOT # 904505.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IVAC VENTED/UNVENTED TUBING IVAC VENTED/UNVENTED TUBING FPA ALARIS MEDICAL SYSTEMS, INC. * 904505

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN