BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE HOMEPUMP

    MDR report key: 6380649 · Received March 2, 2017

    Report

    Report Number
    MW5068275
    Event Type
    Malfunction
    Date Received
    March 2, 2017
    Date of Event
    March 1, 2017
    Report Date
    March 2, 2017
    Manufacturer
    HALYARD HEALTH, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    TWO ECLIPSE HOMEPUMPS FILLED WITH MEROPENEM 1 GRAM/NS 250 ML IN ECLIPSE HOMEPUMP 250 ML; 250 ML/HR, LOT 0202526792, MODEL # E252500 WOULD NOT INFUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    153797 ECLIPSE HOMEPUMP PUMP, INFUSION FRN HALYARD HEALTH, INC. E252500 0202526792
    153798 ECLIPSE HOMEPUMP PUMP, INFUSION FRN HALYARD HEALTH, INC. E252500 0202526792

    Patients

    Seq Age Sex Outcome Treatment
    1