MILLEX GV FILTER UNIT 0.22 SLGU033RS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-21 for MILLEX GV FILTER UNIT 0.22 SLGU033RS manufactured by Merck Millipore.

Event Text Entries

[109069996] Attached the millex g. V. 0. 22 filter when priming the tubing. Nurse went to attach the filter to patient and started the infusion. Noted immediately that the filter was leaking, from filter itself while attached to the patient. Removed the filter and replaced with a new one. No leaking noted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077369
MDR Report Key7533940
Date Received2018-05-21
Date of Report2018-05-17
Date of Event2018-04-26
Date Added to Maude2018-05-22
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 NameMILLEX GV FILTER UNIT 0.22
Generic NameFILTER, CONDUCTION, ANESTHETIC
Product CodeBSN
Date Received2018-05-21
Catalog NumberSLGU033RS
Lot NumberR7MA59116
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMERCK MILLIPORE
Manufacturer AddressBURLINGTON MA 01803 US 01803


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-21

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