BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD VACUTAINER C&S CUP KIT

    MDR report key: 2429880 · Received January 25, 2012

    Report

    Report Number
    2429880
    Event Type
    Malfunction
    Date Received
    January 25, 2012
    Date of Event
    January 24, 2012
    Report Date
    January 25, 2012
    Manufacturer
    BECTON DICKINSON
    Product Code
    JTW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    THE SPECIMEN TUBE IN THE KIT DOES NOT HAVE ANY SUCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD VACUTAINER C&S CUP KIT URINE COLLECTION KIT JTW BECTON DICKINSON 364954 1178163

    Patients

    Seq Age Sex Outcome Treatment
    1 *