BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EXACTA-MED ORAL MEDICATION DISPENSER

    MDR report key: 34662 · Received July 29, 1996

    Report

    Report Number
    MW1009584
    Event Type
    Malfunction
    Date Received
    July 29, 1996
    Manufacturer
    BAXA CORP.
    Product Code
    KYX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ORAL SYRINGE MIS-MARKED. HAS 12 ML MARK TWICE AND NO 13 ML MARK. SAMPLES AVAILABLE UPON REQUEST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXACTA-MED ORAL MEDICATION DISPENSER ORAL SYRINGE KYX BAXA CORP. 11220 F27601

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO