BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAXTER KWIKVIAL

    MDR report key: 3443844 · Received October 29, 2013

    Report

    Report Number
    MW5032498
    Event Type
    Malfunction
    Date Received
    October 29, 2013
    Report Date
    October 28, 2013
    Manufacturer
    BAXTER
    Product Code
    LHI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    BAXTER HEALTHCARE CORP KWIKVIAL CONTAINER 15 ML DOES NOT SEAL OR REMAIN SEALED ONCE FILLED. REF: (B)(4), LOT NO. 784690.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    554886 BAXTER KWIKVIAL 15 ML CONTAINERS LHI BAXTER 784690

    Patients

    Seq Age Sex Outcome Treatment
    1