BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BUTTERFLY INFUSION SET

    MDR report key: 270435 · Received March 20, 2000

    Report

    Report Number
    MW1018451
    Event Type
    Malfunction
    Date Received
    March 20, 2000
    Date of Event
    March 19, 2000
    Report Date
    March 20, 2000
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    EXTENSION TUBING NOT ATTACHED TO SPIKE AT END OF "WINGS". WHEN VENIPUNCTURE COMPLETED, BLOOD FLOWED ONTO WORK SURFACE, PT AND NURSE. NEEDLE REMOVED FROM VEIN BUT PT REQUIRED A SECOND, UNNECESSARY VENIPUNCTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BUTTERFLY INFUSION SET INFUSION SET FOZ ABBOTT LABORATORIES 4492 56048 HG 01

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other