BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARPUJECT

    MDR report key: 35476 · Received July 3, 1996

    Report

    Report Number
    35476
    Event Type
    Injury
    Date Received
    July 3, 1996
    Date of Event
    February 23, 1996
    Report Date
    July 1, 1996
    Manufacturer
    WINTHROP PHARMACEUTICALS
    Product Code
    KZE
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    KS, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SIDE OF WHITE SUPPORTING TUBE BROKE OUT, COULDN'T FINISH GIVING MEDS AS FLUID WOULDN'T COME OUT OF SYRINGE. PLUNGER BECAME UNSTABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARPUJECT STERILE CARTRIDGE-NEEDLE UNIT KZE WINTHROP PHARMACEUTICALS NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR