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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION CLEARLINK; SET, ADMINISTRATION, INTRAVASCULAR

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BAXTER HEALTHCARE CORPORATION CLEARLINK; SET, ADMINISTRATION, INTRAVASCULAR Back to Search Results
Model Number 2R8858
Medical Device Problem Code Illegible Information (4050)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the writing on the primary package label of unspecified units of clearlink system, pe-lined solution sets was smearing.This occurred while the products were wiped with isopropyl alcohol.There was no patient involvement.No additional information is available.
 
Additional Manufacturer Narrative
The actual devices were not available; however, a photograph of the sample was provided for evaluation.A visual inspection of the photograph revealed that the ink on the label was removed, making some parts illegible.This ink was water-based; therefore, contact with isopropyl alcohol and other liquids caused this failure mode.The reported condition was verified.The cause of the condition is most likely due to user wiping with isopropyl alcohol.A batch review was conducted and there were no deviations found related to this reported condition during the manufacture of this lot.Should additional relevant information become available, a supplemental report will be submitted.
 
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Brand Name
CLEARLINK
Common Device Name
SET, ADMINISTRATION, INTRAVASCULAR
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
deerfield IL
Manufacturer (Section G)
BAXTER HEALTHCARE - CARTAGO
parque industrial de cartago
apartado no. 1-7052
cartago
CS  
Manufacturer Contact
25212 w. illinois route 120
round lake, IL 60073
2242702068
MDR Report Key23725785
Report Number1416980-2025-05964
Device Sequence Number16100936
Product Code FPA
UDI-Device Identifier00085412565774
UDI-Public(01)00085412565774(10)R25C29062(17)270330
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K160007
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Pharmacist
Type of Report Initial
Report Date (Section B) 12/05/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Other
Device Model Number2R8858
Device Catalogue Number2R8858
Device Lot NumberR25C29062
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/07/2025
Initial Report FDA Received Date12/05/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/31/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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