FDA Adverse Event
Malfunction
Summary report: N
6000105-1999-00002
MDR report key: 257250
·
Received December 22, 1999
Report
- Report Number
- 6000105-1999-00002
- Event Type
- Malfunction
- Date Received
- December 22, 1999
- Date of Event
- November 1, 1999
- Report Date
- December 17, 1999
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
GENERAL REPORT OF DISCONNECTION OF IV TUBING SETS. REPORT REC'D FROM ABBOTT INTERNATIONAL AFFILIATE, ABBOTT FRANCE, STATES "DISCONNECTION OF DIFFERENT PARTS OF THE SETS, PROBABLY BY LACK OF SOLVANT AT THE LEVEL OF THE SIGHT CHAMBER AND THE Y INJECTION SITE." NO FURTHER INFO IS AVAILABLE. ADD'L INFO HAS BEEN REQUESTED, BUT NO INFO HAS BEEN REC'D.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |