BEUDAMED
    FDA Adverse Event Other Summary report: N

    EZ SET INFUSION SET

    MDR report key: 14227 · Received June 22, 1994

    Report

    Report Number
    MW1002552
    Event Type
    Other
    Date Received
    June 22, 1994
    Date of Event
    June 8, 1994
    Report Date
    June 9, 1994
    Manufacturer
    BECKTON DICKINSON VASCULAR ACCESS
    Product Code
    FOZ
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UPON OPENING INFUSION SET PARTICLE WAS NOTED ON NEEDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EZ SET INFUSION SET SINGLE USE SCALP VEIN NEEDLE FOZ BECKTON DICKINSON VASCULAR ACCESS N3KC200X

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other