BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VENTED IV ADMINISTRATION SET

    MDR report key: 34673 · Received July 19, 1996

    Report

    Report Number
    MW1009592
    Event Type
    Malfunction
    Date Received
    July 19, 1996
    Date of Event
    June 30, 1996
    Report Date
    July 11, 1996
    Manufacturer
    MC GAW, INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TUBING WOULD NOT FILL BEYOND DRIP CHAMBER. THIS HAS HAPPENED AT LEAST 4 OTHER TIMES IN THE LAST 6 MONTHS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENTED IV ADMINISTRATION SET IV ADMINISTRATION SET FPA MC GAW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 NA