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U.S. Department of Health and Human Services

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

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BAXTER HEALTHCARE CORPORATION INTERLINK; SET, ADMINISTRATION, INTRAVASCULAR Back to Search Results
Model Number 2C7558
Medical Device Problem Code Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/17/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a paclitaxel set leaked normal saline solution "near the drip chamber".The event was identified during the final physical line check prior to patient use.There was no patient involvement.No additional information is available.
 
Additional Manufacturer Narrative
Should additional relevant information become available, a supplemental report will be submitted.
 
Additional Manufacturer Narrative
Additional information was added to d9, h3, h5, h6, and h11.H11: the actual device was not available; however, two (2) photographs of the sample were provided for evaluation.Visual inspection revealed a leakage at the interface between the tubing and the drip chamber.The reported condition was verified in the photographic sample.The cause of the reported condition could not be determined; however, it may be related to manual assembly variability.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
INTERLINK
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
2242705355
MDR Report Key25189162
Report Number1416980-2026-01661
Device Sequence Number21406418
Product Code FPA
UDI-Device Identifier00085412036380
UDI-Public(01)00085412036380(17)261119(10)R21K19192
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
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 Health Professional,User Facility,Company Representative
Initial Reporter Occupation Pharmacist
Type of Report Initial,Followup
Report Date (Section B) 06/16/2026
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 Health Professional
Device Model Number2C7558
Device Catalogue Number2C7558
Device Lot NumberR21K19192
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 04/17/2026
Supplement Date Received by Manufacturer05/25/2026
Initial Report FDA Received Date05/15/2026
Supplement Report FDA Received Date06/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/20/2021
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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