BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CODAN US CORPORATION Y EXTENSION SET-LUER LOCK

    MDR report key: 137571 · Received December 4, 1997

    Report

    Report Number
    MW1012629
    Event Type
    Malfunction
    Date Received
    December 4, 1997
    Date of Event
    November 27, 1997
    Report Date
    December 3, 1997
    Manufacturer
    CODAN MEDLON INC.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    EXTENSION SET WOULD NOT ALLOW FLUID TO PASS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODAN US CORPORATION Y EXTENSION SET-LUER LOCK Y EXTENSION SET MINI-BORE WITH INJECTION SITE FPA CODAN MEDLON INC. BC-215 82481

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other