BEUDAMED
    FDA Adverse Event Death Summary report: N

    HEPARIN LOCK FLUSH SOLUTION 100 UNITS/ML

    MDR report key: 1056167 · Received June 3, 2008

    Report

    Report Number
    MW5007122
    Event Type
    Death
    Date Received
    June 3, 2008
    Date of Event
    January 5, 2008
    Report Date
    June 3, 2008
    Manufacturer
    AMSINO MEDICAL USA
    Product Code
    NZW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A RESIDENT USED HEPARIN LOCK FLUSH SOLUTION. WE HAVE 2 SYRINGES 100 UNITS -LOT #KH02552 AND #KH02517- THAT NEED TO BE TESTED FOR OCS. COULD YOU PLEASE DIRECT US ON WHERE IT CAN BE TESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN LOCK FLUSH SOLUTION 100 UNITS/ML NONE NZW AMSINO MEDICAL USA KH02552
    2 HEPARIN LOCK FLUSH SOLUTION 100 UNITS/ML NONE NZW AMSINO MEDICAL USA KH02517

    Patients

    Seq Age Sex Outcome Treatment
    1 Death