BEUDAMED
    FDA Adverse Event Other Summary report: N

    SABRETEK 6060 250ML BAG

    MDR report key: 746473 · Received October 5, 2005

    Report

    Report Number
    MW1036833
    Event Type
    Other
    Date Received
    October 5, 2005
    Date of Event
    October 1, 2005
    Report Date
    October 3, 2005
    Manufacturer
    BAXTER
    Product Code
    KPE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    DESCRIBE EVENT OR PROBLEM: BAG LEAKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SABRETEK 6060 250ML BAG IV BAG KPE BAXTER 560500250 419313

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other