BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABBOTT

    MDR report key: 475496 · Received July 30, 2003

    Report

    Report Number
    MW1029144
    Event Type
    Injury
    Date Received
    July 30, 2003
    Date of Event
    July 9, 2003
    Report Date
    July 30, 2003
    Manufacturer
    ABBOTT LAB
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    TUBING LEAKED AT THE 1.2 MICRON FILTER CONNECTION. TPN WASTED & REPLACED. NO PT HARM NOTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ABBOTT PUMP TUBING FPA ABBOTT LAB * 02175 5H

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR Other| R