BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREFUSION SMARTSITE

    MDR report key: 3003873 · Received March 4, 2013

    Report

    Report Number
    3003873
    Event Type
    Malfunction
    Date Received
    March 4, 2013
    Date of Event
    February 16, 2013
    Report Date
    March 4, 2013
    Manufacturer
    CARDINAL HEALTH
    Product Code
    FPA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    91616 CAREFUSION SMARTSITE SET, ADMINISTRATION, INTRAVASCULAR FPA CARDINAL HEALTH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 3 YR