BLOOD COLLECTION SET 2C7619

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1996-04-30 for BLOOD COLLECTION SET 2C7619 manufactured by Baxter Healthcare Corp..

Event Text Entries

[26985] Conducting a routine therapeutic phlebotomy on pt, when the flow of blood began to slow down suddenly. Immediately checked for possible causes and found the blood collection tubing to be flattening (or collapsing). Also observed a crimped area where the clamp had been closed. Tried every technique known to get blood to flow but could not set it. Rptr was forced to restick pt in another vein to finish phlebotomy. Tubing worked on second attempt but ran very slowly. Pt has been treated at rptr's facility over 50 times before for same procedure using a different brand of tubing.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1008968
MDR Report Key32391
Date Received1996-04-30
Date of Report1996-03-26
Date of Event1996-03-26
Date Added to Maude1996-05-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBLOOD COLLECTION SET
Generic NameBLOOD COLLECTION SET
Product CodeKST
Date Received1996-04-30
Catalog Number2C7619
Lot NumberU288100
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key33668
ManufacturerBAXTER HEALTHCARE CORP.
Manufacturer AddressROUND LAKE IL 60073 US


Patients

Patient NumberTreatmentOutcomeDate
10 1996-04-30

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