BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NEXIVA

    MDR report key: 3201087 · Received May 20, 2013

    Report

    Report Number
    3201087
    Event Type
    Malfunction
    Date Received
    May 20, 2013
    Date of Event
    May 25, 2012
    Report Date
    May 20, 2013
    Manufacturer
    BECTON DICKINSON
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    UT, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    223432 NEXIVA CATHETER FOZ BECTON DICKINSON * 2025084

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR
    2 *