BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VENOJECT II SODIUM FLUORIDE TUBE

    MDR report key: 36956 · Received September 6, 1996

    Report

    Report Number
    MW1009890
    Event Type
    Malfunction
    Date Received
    September 6, 1996
    Manufacturer
    TERUMO MEDICAL CORP.
    Product Code
    JKA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    MEDICAL TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    RPTR RECEIVED 2 BOXES OF SODIUM FLUORIDE TUBES. THE BOXES WERE UNDAMAGED, BUT UPON OPENING IT WAS DISCOVERED THAT MOST OF THE TUBES WERE FLATTENED OR COLLAPSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENOJECT II SODIUM FLUORIDE TUBE BLOOD COLLECITON TUBE 5ML JKA TERUMO MEDICAL CORP. * TL0741

    Patients

    Seq Age Sex Outcome Treatment
    1 *