BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDOINK

    MDR report key: 14955710 · Received July 8, 2022

    Report

    Report Number
    14955710
    Event Type
    Malfunction
    Date Received
    July 8, 2022
    Date of Event
    April 11, 2022
    Report Date
    June 22, 2022
    Manufacturer
    MICRO-TECH (NAN JING) CO., LTD.
    Product Code
    NBG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    ENDOINK LUER CAP WOULD NOT STAY ATTACHED TO SYRINGE. NEW DEVICE OBTAINED AND CASE CONTINUED WITHOUT INCIDENT. UNFORTUNATELY, DEVICE AND PACKAGING DISCARDED DURING CASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1986306 ENDOINK MARKER, COLON NBG MICRO-TECH (NAN JING) CO., LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 18980 DA Unknown