FDA Adverse Event
Other
Summary report: N
QUICK-SET INFUSION SETS
MDR report key: 1449340
·
Received July 31, 2009
Report
- Report Number
- MW5012527
- Event Type
- Other
- Date Received
- July 31, 2009
- Product Code
- FPA
- Report Source
- Voluntary report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
URGENT MEDICAL DEVICE RECALL. 911 WAS CALLED AND CAME TO MY HOUSE BECAUSE OF DEFECTIVE PART. REQUEST FOR REIMBURSE FOR THIS COST. I CANNOT AFFORD TO PAY THIS, NOR SHOULD I DUE TO YOUR DEFECTIVE PART. I AM VERY WELL CONTROLLED AND YET I HAD PROBLEMS FOUR TIMES DURING ONE WEEK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | QUICK-SET INFUSION SETS | NONE | FPA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |