FDA Adverse Event
Other
Summary report: N
BD INTERLINK
MDR report key: 1339374
·
Received March 9, 2009
Report
- Report Number
- 2618282-2009-00003
- Event Type
- Other
- Date Received
- March 9, 2009
- Date of Event
- February 10, 2009
- Report Date
- February 12, 2009
- Manufacturer
- BECTON DICKINSON INFUSION THERAPY SYSTEMS
- Product Code
- FGY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE SAMPLE WAS RECEIVED ON (B)(6) 2009 AND IS CURRENTLY BEING DECONTAMINATED. UPON DECONTAMINATION AND COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B)(4).
Description of Event or Problem · 1
WHEN USING THE SAMPLE CONNECTED TO LOCK SYRINGE, THE FEMALE OF LEVER LOCK BROKE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BD INTERLINK | THREADED LOCK CANNULA | FGY | BECTON DICKINSON INFUSION THERAPY SYSTEMS | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |