| Brand Name | EXACTAMIX |
| Common Device Name | System/device, pharmacy compounding |
| Manufacturer (Section D) |
| BAXTER HEALTHCARE CORPORATION |
| deerfield IL |
|
| Manufacturer (Section G) |
| ECM - PLEXUS - SP009976 |
| 2400 & 2500 millbrook dr |
|
| buffalo grove IL 60089 |
|
| Manufacturer Contact |
|
|
| 25212 w. illinois route 120 |
| round lake, IL 60073
|
|
+1(224)270-5355
|
|
| MDR Report Key | 50875525 |
| Report Number | 1416980-2026-03007 |
| Device Sequence Number | 10674213 |
| Product Code |
NEP
|
| UDI-Device Identifier | 00085412586557 |
| UDI-Public | (01)00085412586557 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NA |
| Initial Reporter Country | UK |
| PMA/510(K) Number | NA |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Type of Report
| Initial |
| Report Date (Section B) |
09/23/2026 |
| 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 |
Other
|
| Device Model Number | EXACTAM |
| Device Catalogue Number | EXACTAM |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/03/2026 |
| Initial Report FDA Received Date | 09/23/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|