BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NIMA

    MDR report key: 176041 · Received July 7, 1998

    Report

    Report Number
    MW1014134
    Event Type
    Malfunction
    Date Received
    July 7, 1998
    Date of Event
    June 29, 1998
    Report Date
    July 7, 1998
    Manufacturer
    CRITICAL DEVICE CORP.
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    RN REPORTED LEAKING OF INJECTION CAP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NIMA NEEDLESS EXTENSION SET FPA CRITICAL DEVICE CORP. NA CA715

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other