BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FREEDOM 60 TUBING

    MDR report key: 260416 · Received January 18, 2000

    Report

    Report Number
    MW1017993
    Event Type
    Malfunction
    Date Received
    January 18, 2000
    Date of Event
    December 3, 1999
    Report Date
    December 3, 1999
    Manufacturer
    REPRO-MED SYSTEMS, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FREEDOM PUMP TUBING SNAPPED IN HALF WHEN UNCLAMPING CLAMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FREEDOM 60 TUBING IV TUBING FPA REPRO-MED SYSTEMS, INC. T H225802

    Patients

    Seq Age Sex Outcome Treatment
    1 *