BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAXZERO

    MDR report key: 20223755 · Received September 16, 2024

    Report

    Report Number
    20223755
    Event Type
    Malfunction
    Date Received
    September 16, 2024
    Date of Event
    April 4, 2024
    Report Date
    May 20, 2024
    Manufacturer
    BD SWITZERLAND SARL
    Product Code
    FPA
    UDI-DI
    10885403240850
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    EXTENSION TUBING LUMEN WITH BLUE CLAMP WILL NOT FLUSH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1535638 MAXZERO SET, ADMINISTRATION, INTRAVASCULAR FPA BD SWITZERLAND SARL MZ9273 23079221 10885403240850

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown