FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 3220978
·
Received July 3, 2013
Report
- Report Number
- 3220978
- Event Type
- Malfunction
- Date Received
- July 3, 2013
- Date of Event
- July 3, 2013
- Report Date
- July 3, 2013
- Manufacturer
- SMITH MEDICAL ASD, INC.
- Product Code
- FMF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 304467 | * | SYRINGE, PISTON | FMF | SMITH MEDICAL ASD, INC. | * | 2459742 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |