FDA Adverse Event No answer provided Summary report: N

FORMALIN

MDR report key: 14102263 · Received April 13, 2022

Report

Report Number
14102263
Event Type
No answer provided
Date Received
April 13, 2022
Date of Event
March 22, 2022
Report Date
March 31, 2022
Manufacturer
SLMP LLC (STATLAB MEDICAL PRODUCTS)
Product Code
IFP
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

CRACKED LID LEADING TO LEAKING OF SPECIMEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
788732 FORMALIN FORMALIN, NEUTRAL BUFFERED IFP SLMP LLC (STATLAB MEDICAL PRODUCTS) 138192

Patients

Seq Age Sex Outcome Treatment
1 Unknown