BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAXTER INTERLINK IV CONNECTOR LOOP

    MDR report key: 26590 · Received October 6, 1995

    Report

    Report Number
    MW1007222
    Event Type
    Malfunction
    Date Received
    October 6, 1995
    Date of Event
    September 11, 1995
    Report Date
    October 3, 1995
    Manufacturer
    BAXTER HEALTHCARE CORP.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PULLED ON J-LOOP TO MAKE SURE BUFFALO CAP WAS ON SNUG. TUBING PULLED OUT FROM THE BUFFALO CAP ITSELF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER INTERLINK IV CONNECTOR LOOP IV TUBING FPA BAXTER HEALTHCARE CORP. U275081

    Patients

    Seq Age Sex Outcome Treatment
    1 *