BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANAEROBIC JAR COMPLETE

    MDR report key: 229839 · Received June 30, 1999

    Report

    Report Number
    1119779-1999-00004
    Event Type
    Injury
    Date Received
    June 30, 1999
    Date of Event
    June 1, 1999
    Report Date
    June 1, 1999
    Manufacturer
    BECTON DICKINSON
    Product Code
    KZJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE TRANSPORTING AN IN-USE ANAEROBIC JAR, THE JAR EXPLODED INJURING THE PERSON CARRYING THE JAR UNDER HER ARM. INJURIES INCURRED ARE UNK BUT INDIVIDUAL WAS SENT TO THE EMERGENCY ROOM FOR TREATMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANAEROBIC JAR COMPLETE GAS GENERATING DEVICE KZJ BECTON DICKINSON NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention