BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BAYYAN STAT KIT

    MDR report key: 3757097 · Received April 14, 2014

    Report

    Report Number
    MW5035655
    Event Type
    Malfunction
    Date Received
    April 14, 2014
    Date of Event
    February 18, 2013
    Report Date
    April 11, 2014
    Manufacturer
    BANYAN
    Product Code
    LRR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    I ORDERED A BANYAN STAT EMERGENCY MEDICATION KIT 32630. IT WAS SHIPPED WITH 7 MISSING MEDICATIONS. TODAY (B)(6) 2014, FOURTEEN MONTHS LATER I STILL HAVE NOT RECEIVED ALL ITEMS TO COMPLETE THIS KIT. I WAS NOT NOTIFIED IT HAD BACK ORDERED ITEMS. I WOULD NOT HAVE PLACED THE ORDER FOR AN INCOMPLETE EMERGENCY MEDICATION KIT. I DISCOVERED THE MISSING ITEMS WHEN I OPENED THE KIT. IT SEEMS INAPPROPRIATE FOR AN EMERGENCY MEDICATION KIT TO BE SOLD MISSING MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    227202 BAYYAN STAT KIT EMERGENCY MEDICATION KIT LRR BANYAN 32630

    Patients

    Seq Age Sex Outcome Treatment
    1