FDA Adverse Event Malfunction Summary report: N

*

MDR report key: 1804432 · Received July 28, 2010

Report

Report Number
1804432
Event Type
Malfunction
Date Received
July 28, 2010
Date of Event
June 14, 2010
Report Date
July 28, 2010
Manufacturer
BARD ACCESS SYSTEMS
Product Code
LJT
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

A PORT WAS PLACED IN THE PATIENT. AFTER COMPLETION, IT WAS NOTICED THAT THE PRODUCT HAD EXPIRED. ====================== HEALTH PROFESSIONAL'S IMPRESSION======================EXPIRATION DATE WAS WRITTEN "2009-10". SUGGESTION - WRITE EXPIRATION WITH MONTH SPELLED OUT, AND YEAR, I.E. OCTOBER 2009.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * CATHETER, IMPLANTED, PORT LJT BARD ACCESS SYSTEMS 1806061 N/A

Patients

Seq Age Sex Outcome Treatment
1 57 YR