BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYREX

    MDR report key: 231730 · Received July 10, 1999

    Report

    Report Number
    MW1016723
    Event Type
    Malfunction
    Date Received
    July 10, 1999
    Date of Event
    July 10, 1999
    Manufacturer
    EXCELSIOR MEDICAL CORP.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    SYREX 5ML SALINE FLUSH (IV) SYRINGES. PRODUCT LOT NUMBER IS NOT VISIBLE ON EITHER OUTSIDE CONTAINER OR ON INDIVIDUAL SYRINGE PACKAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYREX SYRINGE 5 ML (0.9% NACL) FMF EXCELSIOR MEDICAL CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA