BEUDAMED
    FDA Adverse Event Summary report: N

    ECLIPSE HOMEPUMP

    MDR report key: 6519193 · Received April 21, 2017

    Report

    Report Number
    MW5069285
    Date Received
    April 21, 2017
    Date of Event
    April 19, 2017
    Report Date
    April 21, 2017
    Manufacturer
    HALYARD
    Product Code
    MEB
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ECLIPSE HOMEPUMP 250ML (250ML/HR), E252500 WAS FILLED WITH MEROPENEM 1 GRAM/NS 250ML, LOT# 02025340456 LEAKED AFTER BEING FILLED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291835 ECLIPSE HOMEPUMP ECLIPSE HOMEPUMP MEB HALYARD E252500 0202534046

    Patients

    Seq Age Sex Outcome Treatment
    1 MEROPENEM 1 GRAM/NS 250ML.