BEUDAMED
    FDA Adverse Event Other Summary report: N

    RYMED CAP

    MDR report key: 3677448 · Received March 7, 2014

    Report

    Report Number
    MW5034919
    Event Type
    Other
    Date Received
    March 7, 2014
    Date of Event
    February 5, 2014
    Report Date
    March 7, 2014
    Manufacturer
    RYMED TECHNOLOGIES INC
    Product Code
    FPA
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RYMED CAP HAD A HOLE IN CENTER OF HUB, NEW CAP PLACED ON PIV. B BRAUN TUBING USED TO COMPLETE THE ADMINISTRATION OF MEDICATION. NO HARM TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    138359 RYMED CAP NONE FPA RYMED TECHNOLOGIES INC R01356

    Patients

    Seq Age Sex Outcome Treatment
    1 1 MO