BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1213643-1999-00059

    MDR report key: 256924 · Received December 23, 1999

    Report

    Report Number
    1213643-1999-00059
    Event Type
    Malfunction
    Date Received
    December 23, 1999
    Date of Event
    December 6, 1999
    Report Date
    December 23, 1999
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UNABLE TO TRANSFER BLOOD FORM COLLECTION CHAMBER TO REINFUSION BAG DUE TO A STUCK TRANSFER BUTTON.

    Patients

    Seq Age Sex Outcome Treatment
    1 *