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 |