PACMED

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-06-24 for PACMED manufactured by Aesynt.

Event Text Entries

[48719984] Pacmed packaged tablets of crestor and mislabeled them as acetaminophen. Five tablets were dispensed and administered to some combination of 5 patients. The attending physicians of all 5 patients were notified and no harm was reported. (b)(4) was promptly notified and they determined it was a rare timing issue during the canister restocking and the use of the witness feature when an error message is created. Aesynt provided a workaround solution until a permanent one is identified.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5063162
MDR Report Key5761318
Date Received2016-06-24
Date of Report2016-06-23
Date of Event2016-05-08
Date Added to Maude2016-06-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePACMED
Generic NamePACMED
Product CodeNXB
Date Received2016-06-24
ID NumberARP-400SL6
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerAESYNT


Patients

Patient NumberTreatmentOutcomeDate
10 2016-06-24

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