BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MULTISTICK

    MDR report key: 26730 · Received July 20, 1995

    Report

    Report Number
    MW4000708
    Event Type
    Malfunction
    Date Received
    July 20, 1995
    Date of Event
    April 1, 1995
    Report Date
    April 21, 1995
    Manufacturer
    MILES, INC.
    Product Code
    KHE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DEVICES FROM DIFFERENT BOXES WERE GIVEN POSITIVE RESULTS FOR BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTISTICK MULTISTICK KHE MILES, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other