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Adverse Event Report

BAXTER HEALTHCARE CORP BAXTER SOLUTION SET IV TUBING FOR 6060   back to search results
Model Number 2M9859
Event Description

The technician was preparing chemotherapy for a pt. Went to open tubing package and the tubing was separated into 2 peices.

 
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Brand NameBAXTER SOLUTION SET
Type of DeviceIV TUBING FOR 6060
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section D)
BAXTER HEALTHCARE CORP
deerfield IL *
Device Event Key497967
MDR Report Key509016
Event Key482865
Report NumberMW1030889
Device Sequence Number1
Product CodeFPA
Report Source Voluntary
Report Date 01/16/2004
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received01/16/2004
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device MODEL Number2M9859
Device LOT NumberR03518058
Was Device Available For Evaluation? Yes
Is the Device an Implant? No
Is this an Explanted Device? No Answer Provided

Database last updated on February 28, 2009

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