BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDEGEN MEDICAL PRODUCTS, LLC

    MDR report key: 16775804 · Received April 20, 2023

    Report

    Report Number
    16775804
    Event Type
    Malfunction
    Date Received
    April 20, 2023
    Date of Event
    March 15, 2023
    Report Date
    March 30, 2023
    Manufacturer
    MEDEGEN MEDICAL PRODUCTS
    Product Code
    FNY
    UDI-DI
    10700812000300
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    UNKNOWN SPECKS NOTED INSIDE BOWL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1206767 MEDEGEN MEDICAL PRODUCTS, LLC BASIN, EMESIS FNY MEDEGEN MEDICAL PRODUCTS 01232 303596 10700812000300

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown