FDA Adverse Event Malfunction Summary report: N

UNKNOWN

MDR report key: 18639157 · Received February 5, 2024

Report

Report Number
2243072-2024-05002
Event Type
Malfunction
Date Received
February 5, 2024
Report Date
May 2, 2024
Manufacturer
HDQ PARSIPPANY
Product Code
MMK
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

H3 OTHER TEXT : PRODUCT NOT AVAILABLE

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: NO SAMPLES (INCLUDING PHOTOS) WERE RETURNED THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED AND THE ROOT CAUSE IS UNDETERMINED. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. IF SAMPLES ARE RECEIVED IN THE FUTURE THE COMPLAINT WILL BE REOPENED FOR FURTHER INVESTIGATION. BASED ON THE ABOVE, NO ADDITIONAL INVESTIGATION AND NO CORRECTIVE/PREVENTATIVE ACTION (CAPA) OR SITUATIONAL ANALYSIS (SA) IS REQUIRED AT THIS TIME.

Description of Event or Problem · 0

CONSUMER REPORTED LID IS MISSING FROM SHARPS CONTAINER PRIOR TO USE. DISCARDED BOX. PRODUCT INFORMATION IS NOT AVAILABLE STATED, SHE PURCHASED A 1.4QT. SHARPS CONTAINER. DATE OF EVENT: UNKNOWN SAMPLE: NO CL

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249063 UNKNOWN CONTAINER, SHARPS MMK HDQ PARSIPPANY UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown