BEUDAMED
    FDA Adverse Event Other Summary report: N

    IV PUMP SET 78"

    MDR report key: 30373 · Received February 21, 1996

    Report

    Report Number
    MW1008405
    Event Type
    Other
    Date Received
    February 21, 1996
    Date of Event
    February 14, 1996
    Report Date
    February 20, 1996
    Manufacturer
    PATIENT SOLUTIONS, INC
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    RPTR STATES THERE WAS LEAKAGE IN THE PUMP SET JUST BELOW BAG SPIKE PROBABLY DUE TO INCOMPLETE ATTACHMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IV PUMP SET 78" IV SET FPA PATIENT SOLUTIONS, INC 50919C

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other