BEUDAMED
    FDA Adverse Event Other Summary report: N

    VACUTAINER BRAND

    MDR report key: 133623 · Received November 20, 1997

    Report

    Report Number
    MW1012507
    Event Type
    Other
    Date Received
    November 20, 1997
    Date of Event
    November 6, 1997
    Report Date
    November 7, 1997
    Manufacturer
    BECTON DICKINSON VACUTAINER SYSTEMS AND LABWARE
    Product Code
    JTX
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    GLASS SPECIMEN VIAL SHATTERED WHEN SWAB WAS BEING USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VACUTAINER BRAND ANAEROBIC SPECIMEN COLLECTION JTX BECTON DICKINSON VACUTAINER SYSTEMS AND LABWARE 27X40030 REORDER # 3650

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other