RATE FLOW? US5300

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-27 for RATE FLOW? US5300 manufactured by Leventon, S.a.u..

Event Text Entries

[121914711] As reported by user facility: event 1. The flow regulator was set to infuse at 250 ml/hr, which should have infused over 4 hours, but the iv fluid ran through in just under 2 hours. No harm to the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2532083-2018-00009
MDR Report Key7914860
Date Received2018-09-27
Date of Report2018-09-27
Date of Event2018-08-24
Date Facility Aware2018-09-07
Report Date2018-09-27
Date Reported to FDA2018-09-27
Date Reported to Mfgr2018-09-14
Date Added to Maude2018-09-27
Event Key0
Report Source CodeDistributor 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 Report3

Device Details

Brand NameRATE FLOW?
Generic NameCONTROLLER, INFUSION, INTRAVASCULAR, ELECTRONIC
Product CodeLDR
Date Received2018-09-27
Returned To Mfg2018-09-25
Catalog NumberUS5300
Lot Number161332L
Device Expiration Date2019-09-15
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLEVENTON, S.A.U.
Manufacturer AddressNEWTON, 18-24 SANT ESTEVE SESROVIRES, BARCELONA 08635 SP 08635


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-27

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