BEUDAMED
    FDA Adverse Event Other Summary report: N

    INTAKE TUMBLER, 9OZ

    MDR report key: 5057923 · Received August 31, 2015

    Report

    Report Number
    MW5055949
    Event Type
    Other
    Date Received
    August 31, 2015
    Date of Event
    June 3, 2015
    Report Date
    August 31, 2015
    Manufacturer
    MEDEGEN
    Product Code
    KYW
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PRODUCT - MEDEGEN GRADUATED TUMBLER 02068A. TUMBLER STICK TOGETHER. NURSE CANNOT PULL THEM APART - WASTE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    576834 INTAKE TUMBLER, 9OZ INTAKE TUMBLER, 9OZ KYW MEDEGEN VARIES 20150116

    Patients

    Seq Age Sex Outcome Treatment
    1