BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE HOMEPUMP

    MDR report key: 7292617 · Received February 22, 2018

    Report

    Report Number
    MW5075466
    Event Type
    Malfunction
    Date Received
    February 22, 2018
    Date of Event
    February 14, 2018
    Report Date
    February 21, 2018
    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

    ECLIPSE HOMEPUMP (MODEL# E252500, LOT# 0202828159) CONTAINING AZITHROMYCIN 500 MG IN 0.9% SODIUM CHLORIDE 250 ML, WHEN UNCLAMPED THE MEDICATION DOES NOT DISPENSE FROM THE DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    131685 ECLIPSE HOMEPUMP ECLIPSE HOMEPUMP MEB HALYARD E252500 0202828159

    Patients

    Seq Age Sex Outcome Treatment
    1