BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DUAL CHAMBER EMPTY CONTAINER

    MDR report key: 32723 · Received May 6, 1996

    Report

    Report Number
    MW1009032
    Event Type
    Malfunction
    Date Received
    May 6, 1996
    Date of Event
    May 1, 1996
    Report Date
    May 2, 1996
    Manufacturer
    SECURE MEDICAL PRODUCTS
    Product Code
    KPE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    TPN BAG CAPABLE OF HOLDING 2500/500 SPLIT AT SEAM. BAG ONLY HAD 1250/250 IN IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DUAL CHAMBER EMPTY CONTAINER TPN CONTAINER, 3000ML CAPACITY KPE SECURE MEDICAL PRODUCTS 95125

    Patients

    Seq Age Sex Outcome Treatment
    1 NA