BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE HOMEPUMP

    MDR report key: 6736051 · Received July 20, 2017

    Report

    Report Number
    MW5071148
    Event Type
    Malfunction
    Date Received
    July 20, 2017
    Date of Event
    July 19, 2017
    Report Date
    July 20, 2017
    Manufacturer
    HALYARD
    Product Code
    MEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    MEROPENEM 1 GRAM/NS 0.9 PERCENT SODIUM CHLORIDE 250 ML, MODEL #E252500, LOT #0202617679, WOULD NOT INFUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    511185 ECLIPSE HOMEPUMP PUMP, INFUSION, ELASTOMERIC MEB HALYARD E252500 0202617679

    Patients

    Seq Age Sex Outcome Treatment
    1