AUTOMATED PC SET WITH CASSETTE 4-PRONG R5C4479C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-09-01 for AUTOMATED PC SET WITH CASSETTE 4-PRONG R5C4479C manufactured by Baxter Healthcare Corporation.

Event Text Entries

[54455896] I noticed a pt safety problem related to a medical device (automated pd set with cassette 4-prong, code number is (b)(4)). This product has 3 holes on each side of the cassette package (total 6 holes on both sides) although there are statements on their package says "sterile", "do not use if package is damaged. " i reported and questioned the mfr about these holes which may make the sterile tubes expose to the air and contaminated during the transportation and storage, but the official response from them are", the six flutter vents (holes) is being provided for in and out of eo gas and no quality issue reported from the presence of this vents. " i cannot agree with their response based on the basic principles of the aseptic theory as well as my 20 years clinical nursing practice. Could you please investigate this pt safety issue and give me clarification regarding the quality of this medical device asap? I can be reached at (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5064638
MDR Report Key5939152
Date Received2016-09-01
Date of Report2016-09-01
Date of Event2016-09-01
Date Added to Maude2016-09-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameAUTOMATED PC SET WITH CASSETTE 4-PRONG
Generic NameAUTOMATIC DELIVERY SYSTEM
Product CodeKCT
Date Received2016-09-01
Model NumberR5C4479C
Lot NumberH16F17011
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBAXTER HEALTHCARE CORPORATION


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-09-01

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