BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRIMARY PLUMSET CLAVE

    MDR report key: 2853268 · Received November 23, 2012

    Report

    Report Number
    2853268
    Event Type
    Malfunction
    Date Received
    November 23, 2012
    Date of Event
    November 12, 2012
    Report Date
    November 23, 2012
    Manufacturer
    HOSPIRA
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIMARY PLUMSET CLAVE TUBING, FLUID DELIVERY FRN HOSPIRA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *