BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BUTTON REPL., G-DEVICE

    MDR report key: 280262 · Received May 25, 2000

    Report

    Report Number
    1223688-2000-00021
    Event Type
    Malfunction
    Date Received
    May 25, 2000
    Date of Event
    January 31, 2000
    Report Date
    April 27, 2000
    Manufacturer
    C.R. BARD, INC., BIPD DIV.
    Product Code
    KNT
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    BUTTON PLACED IN 1999. WHEN REMOVING IT IN 2000 THE USER NOTED THAT THE INTERNAL DOME WAS MISSING. NO OTHER INFORMATION IS AVAILABLE AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BUTTON REPL., G-DEVICE FEEDING DEVICE KNT C.R. BARD, INC., BIPD DIV. 61000285 43JIA003

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other