BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEPARIN LOCK FLUSH SOLUTION

    MDR report key: 1726940 · Received June 14, 2010

    Report

    Report Number
    MW5016380
    Event Type
    Malfunction
    Date Received
    June 14, 2010
    Date of Event
    June 4, 2010
    Report Date
    June 10, 2010
    Manufacturer
    B-D
    Product Code
    NZW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    I CAME ACROSS A MEDICATION THAT I BELIEVE HAS AN INCORRECT BARCODE. IS THIS THE CORRECT PLACE TO REPORT IT? THE MEDICATION IS: HEPARIN LOCK FLUSH SOLUTION, USP, 10 UNITS/ML. MANUFACTURED BY: BD, (B) (4). (B) (4), (B) (4). THE NDC IS LISTED AS (B) (4). THE BARCODE IS: (B) (4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN LOCK FLUSH SOLUTION HEPARIN LOCK FLUSH SOLUTION, USP, 10 UNITS/ML NZW B-D 007021N

    Patients

    Seq Age Sex Outcome Treatment
    1