BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ECLIPSE HOMEPUMP

    MDR report key: 7432304 · Received April 13, 2018

    Report

    Report Number
    MW5076497
    Event Type
    Malfunction
    Date Received
    April 13, 2018
    Date of Event
    March 16, 2018
    Report Date
    April 12, 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 # 0202860208) FILLED WITH MEROPENEM 1 GRAM / 0.9 PERCENT SODIUM CHLORIDE 250 ML WOULD NOT INFUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    274114 ECLIPSE HOMEPUMP PUMP, INFUSION, ELASTOMERIC MEB HALYARD #252500 0202860208

    Patients

    Seq Age Sex Outcome Treatment
    1