BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    APOTHECON

    MDR report key: 39449 · Received September 24, 1996

    Report

    Report Number
    MW4001508
    Event Type
    Malfunction
    Date Received
    September 24, 1996
    Date of Event
    August 29, 1996
    Report Date
    August 29, 1996
    Manufacturer
    BRISTOL-MYERS SQUIBB
    Product Code
    LNW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    NITRAZINE PAPER DISPENSER WAS PICKED UP TO USE. ENTIRE CONTENTS WERE LIGHT GREEN (PH APPROX 5.5). TAPE USUALLY COMES BRIGHT YELLOW FROM MFR. NOT AWARE OF ANY EXPOSURE TO ALKALI OR ACID FUMES. PRODUCT RETURNED TO PHARMACY NOT USED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 APOTHECON NITRAZINE PAPER LNW BRISTOL-MYERS SQUIBB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other