BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE

    MDR report key: 288468 · Received August 2, 2000

    Report

    Report Number
    MW1019426
    Event Type
    Malfunction
    Date Received
    August 2, 2000
    Date of Event
    July 31, 2000
    Report Date
    August 2, 2000
    Manufacturer
    I-FLOW CORPORATION
    Product Code
    MEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    INFUSER WOULD NOT INFUSE FOR PT. TRIED IN PHARMACY WHEN RETURNED TO VERIFY THAT IT WOULD NOT INFUSE. VANCOMYCIN 1000MG IN 175 ML N.S.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ECLIPSE 250ML 175 ML/HR LP MEB I-FLOW CORPORATION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other