BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROVENTIL HFA 6.7G - 200 METERED INHALATIONS

    MDR report key: 1902961 · Received November 10, 2010

    Report

    Report Number
    MW5018233
    Event Type
    Malfunction
    Date Received
    November 10, 2010
    Date of Event
    November 10, 2010
    Report Date
    November 10, 2010
    Manufacturer
    SCHERING CORP., A SUBSIDIARY OF SCHERING PLOUGH
    Product Code
    KCO
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT USING PROVENTIL HFA NDC 0085-132-01, LOT 100299, EXP 06/2012. RETURNED TO THE PULMONARY CLINIC AND STATED THAT IT IS DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROVENTIL HFA 6.7G - 200 METERED INHALATIONS ALBUTEROL SULFATE INHALATION AEROSOL KCO SCHERING CORP., A SUBSIDIARY OF SCHERING PLOUGH 100299

    Patients

    Seq Age Sex Outcome Treatment
    1