BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    V. MULLER

    MDR report key: 2495963 · Received March 13, 2012

    Report

    Report Number
    2495963
    Event Type
    Malfunction
    Date Received
    March 13, 2012
    Date of Event
    March 12, 2012
    Report Date
    March 13, 2012
    Manufacturer
    CAREFUSION
    Product Code
    HXK
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 V. MULLER BERRY NEEDLE HOLDER HXK CAREFUSION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR