FDA Adverse Event
Malfunction
Summary report: N
IV FLOW CONTROL EXTENSION SET WITH SMART SITE
MDR report key: 505135
·
Received December 18, 2003
Report
- Report Number
- MW1030634
- Event Type
- Malfunction
- Date Received
- December 18, 2003
- Manufacturer
- LIV MEDICAL PRODUCTS, MEDIC ACS
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- NURSE
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | IV FLOW CONTROL EXTENSION SET WITH SMART SITE | RATE CONTROL DEVICE | FPA | LIV MEDICAL PRODUCTS, MEDIC ACS | RF-1001-1 | 303079 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |