MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-01-17 for BAXTER 2C4005 * manufactured by Baxter Healthcare Corp.
[443808]
Insert found in tubing. Tubing removed from case and another set used.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1037740 |
| MDR Report Key | 666051 |
| Date Received | 2006-01-11 |
| Date of Report | 2006-01-11 |
| Date of Event | 2005-12-27 |
| Date Added to Maude | 2006-01-24 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BAXTER |
| Generic Name | Y TYPE TUR IRRIGATION SET |
| Product Code | EYZ |
| Date Received | 2006-01-17 |
| Model Number | 2C4005 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | R05314097 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 655422 |
| Manufacturer | BAXTER HEALTHCARE CORP |
| Manufacturer Address | * DEERFIELD IL 60015 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-01-11 |