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 |