FDA Adverse Event
Malfunction
Summary report: N
BSN MEDICAL
MDR report key: 19508959
·
Received June 11, 2024
Report
- Report Number
- 19508959
- Event Type
- Malfunction
- Date Received
- June 11, 2024
- Date of Event
- January 17, 2024
- Report Date
- February 16, 2024
- Manufacturer
- BSN MEDICAL, INC.
- Product Code
- ITG
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RECEIVED MISLABELED PRODUCT. ITEM: 32007692, PADDING CAST STERILE 2"X4YDS, MF# 9062S MANUFACTURER RESPONSE FOR PADDING CAST STERILE 2INX4YDS 9062S, BSN MEDICAL (PER SITE REPORTER). NO RESPONSE YET - SENT PRODUCT BACK ON [DATE REDACTED].
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 806952 | BSN MEDICAL | BANDAGE, CAST | ITG | BSN MEDICAL, INC. | 315094 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |