BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2503462 · Received March 15, 2012

    Report

    Report Number
    2503462
    Event Type
    Malfunction
    Date Received
    March 15, 2012
    Date of Event
    March 10, 2012
    Report Date
    March 15, 2012
    Manufacturer
    HOSPIRA
    Product Code
    FPK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TUBING WOULD NOT FLUSH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * INTRAVASCULAR TUBING FPK HOSPIRA * 09068NS

    Patients

    Seq Age Sex Outcome Treatment
    1 *