BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER

    MDR report key: 335791 · Received May 31, 2001

    Report

    Report Number
    MW1022048
    Event Type
    Injury
    Date Received
    May 31, 2001
    Date of Event
    April 30, 2001
    Report Date
    May 3, 2001
    Manufacturer
    BAXTER DIAGNOSTICS, INC. PRODUCT SVC MGMT
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    NURSE ADMINISTERING IV OBSERVED THAT "PUMP FLOWS BACKWARDS - SUCKS BLOOD OUT OF PT". CHECKED OUT FINE BY BIOMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25133 BAXTER VOLUMETRIC INFUSION PUMP FRN BAXTER DIAGNOSTICS, INC. PRODUCT SVC MGMT 6201 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention