BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRE-FILLED NORMAL SALINE FILLED FLUSH

    MDR report key: 3220781 · Received June 28, 2013

    Report

    Report Number
    3220781
    Event Type
    Malfunction
    Date Received
    June 28, 2013
    Date of Event
    June 12, 2013
    Report Date
    June 28, 2013
    Manufacturer
    BD MEDICAL SYSTEMS
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    295248 PRE-FILLED NORMAL SALINE FILLED FLUSH SYRINGE, PISTON FMF BD MEDICAL SYSTEMS * 301411B

    Patients

    Seq Age Sex Outcome Treatment
    1 *