* N-7990

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-20 for * N-7990 manufactured by Mcgaw, Inc..

Event Text Entries

[17513025] After reconstitution of unasyn using binary connector, the seal went back into hole so solution of drug could not be released from vial to minibag decreasing dose.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1012309
MDR Report Key127506
Date Received1997-10-20
Date of Report1997-10-20
Date of Event1997-10-16
Date Added to Maude1997-10-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameBINARY CONNECTOR
Product CodeLHF
Date Received1997-10-20
Model Number*
Catalog NumberN-7990
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key124754
ManufacturerMCGAW, INC.
Manufacturer Address2525 MCGAW AVE IRVINE CA 926145895 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1997-10-20

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