BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI-JECTOR VISION

    MDR report key: 283954 · Received June 28, 2000

    Report

    Report Number
    2182861-2000-00005
    Event Type
    Other
    Date Received
    June 28, 2000
    Date of Event
    June 16, 2000
    Report Date
    June 26, 2000
    Manufacturer
    MEDI-JECT CORP
    Product Code
    KZE
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    HOSPITALIZED DUE TO LOW BLOOD SUGAR. P.A. LOST CONSCIOUSNESS AND WAS ADMITTED TO THE HOSP FOR OBSERVATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-JECTOR VISION NEEDLE-FREE INJECTOR KZE MEDI-JECT CORP 300035-001 *

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Hospitalization