BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECTON DICKINSON VACUTAINER SYSTEM

    MDR report key: 306047 · Received November 21, 2000

    Report

    Report Number
    MW1020481
    Event Type
    Malfunction
    Date Received
    November 21, 2000
    Report Date
    November 21, 2000
    Manufacturer
    BECTON DICKINSON AND CO.
    Product Code
    JKA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    NEEDLE DOES NOT APPEAR TO HAVE BORE COMPLETELY THROUGH. LIGHT DOES NOT PASS THROUGH AND AIR CANNOT BE FORCED THROUGH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BECTON DICKINSON VACUTAINER SYSTEM PRECISIONGLIDE BRAND BLOOD COLLECTION NEEDLES JKA BECTON DICKINSON AND CO. * 9J005

    Patients

    Seq Age Sex Outcome Treatment
    1 *