ARTERIAL BLOOD SAMPLER 601LRH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-28 for ARTERIAL BLOOD SAMPLER 601LRH manufactured by Carefusion.

Event Text Entries

[101518569] Blood gas syringes labeled incorrectly from the mant. Some lots were found to be labeled as "luer slip. " correct product desc is "luer lock. " the product was labeled with the correct mant. , item ref and the correct syringes were in the package. Only issue was the description. Carefusion is the mant. Mant. , item ref numbers are 601lrh and 603lrh, lot#s: 0001192190, 0001190638, 0001187603, 0001160557, 0001157948, 0001157941.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5075615
MDR Report Key7305697
Date Received2018-02-28
Date of Report2018-02-27
Date of Event2018-02-26
Date Added to Maude2018-03-01
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 Sequence Number: 1

Brand NameARTERIAL BLOOD SAMPLER
Generic NameABG/BLOOD GAS SYRINGE
Product CodeCBT
Date Received2018-02-28
Catalog Number601LRH
Lot Number0001192190
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS

Device Sequence Number: 2

Brand NameARTERIAL BLOOD SAMPLER
Generic NameABG/BLOOD GAS SYRINGE
Product CodeCBT
Date Received2018-02-28
Catalog Number603LRH
Lot Number0001190638
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS

Device Sequence Number: 3

Brand NameARTERIAL BLOOD SAMPLER
Generic NameABG/BLOOD GAS SYRINGE
Product CodeCBT
Date Received2018-02-28
Lot Number0001187603
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No3
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS

Device Sequence Number: 4

Brand NameARTERIAL BLOOD SAMPLER
Generic NameABG/BLOOD GAS SYRINGE
Product CodeCBT
Date Received2018-02-28
Lot Number0001160557
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No4
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS

Device Sequence Number: 5

Brand NameARTERIAL BLOOD SAMPLER
Generic NameABG/BLOOD GAS SYRINGE
Product CodeCBT
Date Received2018-02-28
Lot Number0001157948
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No5
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-28

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