BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MONOJECT BLUNTIP

    MDR report key: 3893812 · Received June 18, 2014

    Report

    Report Number
    MW5036785
    Event Type
    Malfunction
    Date Received
    June 18, 2014
    Date of Event
    June 16, 2014
    Report Date
    June 17, 2014
    Manufacturer
    KENDALL
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    KENDALL MONOJECT BLUNTIP CANNULA WITH VIAL ACCESS PIN PARTICLE OF RUBBER STOPPER NOTED IN MEDICATION VIAL AFTER USE OF THIS PRODUCT TO DRAW UP MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    359275 MONOJECT BLUNTIP VIAL ACCESS FMI KENDALL 8881540120 216518

    Patients

    Seq Age Sex Outcome Treatment
    1