BEUDAMED
    FDA Adverse Event Other Summary report: N

    ICU MEDICAL INC

    MDR report key: 399304 · Received June 10, 2002

    Report

    Report Number
    MW1025286
    Event Type
    Other
    Date Received
    June 10, 2002
    Date of Event
    May 31, 2002
    Report Date
    June 10, 2002
    Manufacturer
    ABBOTT
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IV EXTENSION SET LEAKING AT CONNECTION SITE OF CLAVE PLUM PUMP BEING USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ICU MEDICAL INC CLAVE EXTENSION SET FPA ABBOTT 12315 S1S118

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other