BEUDAMED
    FDA Adverse Event Other Summary report: N

    Y-TYPE BLOOD SET WITH PUMP

    MDR report key: 612533 · Received June 2, 2005

    Report

    Report Number
    612533
    Event Type
    Other
    Date Received
    June 2, 2005
    Date of Event
    April 15, 2005
    Report Date
    May 16, 2005
    Manufacturer
    ABBOTT LABORATORIES, INC
    Product Code
    BRZ
    Report Source
    User Facility report
    Reporter Location
    ME, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSING NOTICED THAT A BAG OF ANTIBIOTIC MEDICATION BAG WAS CONNECTED TO A BLOOD TUBING SET UP WHEN THE PATIENT ARRIVED FROM CARDIAC SURGERY. WHITE PRECIPITANT WAS NOTED, MIXED WITH BLOOD IN TUBING. THE PATIENT HAD RECEIVED BLOOD DURING SURGERY AND THE ANTIBIOTIC WAS CONNECTED TO THE TUBING SET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 Y-TYPE BLOOD SET WITH PUMP CARDIAC OR BLOOD SET BRZ ABBOTT LABORATORIES, INC 1873 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR