BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VACUETTE SAFETY BLOOD COLLECTION SET

    MDR report key: 3200939 · Received June 12, 2013

    Report

    Report Number
    3200939
    Event Type
    Malfunction
    Date Received
    June 12, 2013
    Date of Event
    April 17, 2013
    Report Date
    June 12, 2013
    Manufacturer
    GREINER BIO-ONE
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    267479 VACUETTE SAFETY BLOOD COLLECTION SET NEEDLE, HYPODERMIC, SINGLE LUMEN FMI GREINER BIO-ONE 450096 12K22

    Patients

    Seq Age Sex Outcome Treatment
    1 *