BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROBORE EXTENSION SET W/LL T-CONNECTOR

    MDR report key: 310229 · Received December 22, 2000

    Report

    Report Number
    6000097-2000-00012
    Event Type
    Malfunction
    Date Received
    December 22, 2000
    Date of Event
    August 14, 2000
    Report Date
    August 15, 2000
    Manufacturer
    ABBOTT LABORATORIES
    Product Code
    FPA
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    NOT APPLICABLE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROBORE EXTENSION SET W/LL T-CONNECTOR ADMINISTRATION SET FPA ABBOTT LABORATORIES NA 58-596-VM

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other