BEUDAMED
    FDA Adverse Event Other Summary report: N

    WINGSET BCS 21X.75 12 LUER

    MDR report key: 497504 · Received November 19, 2003

    Report

    Report Number
    1024879-2003-00013
    Event Type
    Other
    Date Received
    November 19, 2003
    Date of Event
    October 29, 2003
    Report Date
    November 19, 2003
    Manufacturer
    BD
    Product Code
    GJE
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    DC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WINGSET BCS 21X.75 12 LUER BLOOD COLLECTION SET GJE BD NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other