BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EXACTA MED DISPENSER

    MDR report key: 36509 · Received September 4, 1996

    Report

    Report Number
    MW4001468
    Event Type
    Malfunction
    Date Received
    September 4, 1996
    Report Date
    July 23, 1996
    Manufacturer
    BAXA CORP.
    Product Code
    KYX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    MFG DEFECT. SYRINGE HAS 2 12 ML MARKS AND NO 13ML MARK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXACTA MED DISPENSER MEDICATION DISPENSER KYX BAXA CORP. * 134-090911

    Patients

    Seq Age Sex Outcome Treatment
    1 NA