RATE FLOW? V5922

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-31 for RATE FLOW? V5922 manufactured by Leventon, S.a.u..

Event Text Entries

[125767090] As reported by user facility: an infusion that should have taken one hour, took five.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2532083-2018-00020
MDR Report Key8025933
Date Received2018-10-31
Date of Report2018-10-31
Date of Event2018-10-15
Date Facility Aware2018-10-15
Report Date2018-10-31
Date Reported to FDA2018-10-31
Date Reported to Mfgr2018-10-31
Date Added to Maude2018-10-31
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
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 Received2018-10-31
Catalog NumberV5922
Lot Number180810L
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2018-10-31

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