BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYRINGE, BARD, IRRIGATION

    MDR report key: 2633289 · Received June 20, 2012

    Report

    Report Number
    2633289
    Event Type
    Malfunction
    Date Received
    June 20, 2012
    Date of Event
    June 7, 2012
    Report Date
    June 20, 2012
    Manufacturer
    BARD
    Product Code
    EYN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    A HAIR WAS FOUND IN THE STERILE SYRINGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYRINGE, BARD, IRRIGATION ASEPTO SYRINGE EYN BARD 0035280 NGWD3221

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR