FDA Adverse Event
Malfunction
Summary report: N
VACURETTE "F" TIP 8MM 10/PKG
MDR report key: 504143
·
Received December 15, 2003
Report
- Report Number
- 2124979-2003-00021
- Event Type
- Malfunction
- Date Received
- December 15, 2003
- Date of Event
- September 15, 2003
- Report Date
- December 12, 2003
- Manufacturer
- ACMI CORPORATION
- Product Code
- HHK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | VACURETTE "F" TIP 8MM 10/PKG | CURETTE | HHK | ACMI CORPORATION | 21745 | 5V0053 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |