BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD VACUTAINER

    MDR report key: 2250790 · Received September 6, 2011

    Report

    Report Number
    2250790
    Event Type
    Malfunction
    Date Received
    September 6, 2011
    Date of Event
    September 4, 2011
    Report Date
    September 6, 2011
    Manufacturer
    BECTON DICKINSON & CO
    Product Code
    JKA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BD VACUTAINER BROKE. ======================MANUFACTURER RESPONSE FOR VACUTAINER, BD VACUTAINER (PER SITE REPORTER)======================NONE YET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD VACUTAINER VACUTAINER JKA BECTON DICKINSON & CO * 1119018

    Patients

    Seq Age Sex Outcome Treatment
    1 *