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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION MICRO-VOLUME; Filter, infusion line

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BAXTER HEALTHCARE CORPORATION MICRO-VOLUME; Filter, infusion line Back to Search Results
Model Number 2N3350
Medical Device Problem Code Fluid/Blood Leak (1250)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/29/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that an unspecified quantity of micro-volume extension sets intermittently leaked through the air vent filter.The reporter stated that it was a continuous leakage.The process step at which the issue occurred was not specified.There was no report of patient injury or medical intervention associated with these events.No additional information is available at this time.
 
Additional Manufacturer Narrative
D4 udi: as the lot # is unknown, the udi will consist of the primary di number only.Should additional relevant information become available, a supplemental report will be submitted.
 
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Brand Name
MICRO-VOLUME
Common Device Name
Filter, infusion line
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
deerfield IL
Manufacturer (Section G)
BAXTER HEALTHCARE - HAINA
parque industrial itabo
carretera sanchez km 18 1/2
haina NA 21426
DR   21426
Manufacturer Contact
25212 w. illinois route 120
round lake, IL 60073
+1(224)270-5355
MDR Report Key50528289
Report Number1416980-2026-02803
Device Sequence Number9875006
Product Code FPB
UDI-Device Identifier00085412004846
UDI-Public(01)00085412004846
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K113227
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 08/31/2026
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 Number2N3350
Device Catalogue Number2N3350
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 08/04/2026
Initial Report FDA Received Date08/31/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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