BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGIOCATH N AUTOGUARD

    MDR report key: 5105006 · Received September 21, 2015

    Report

    Report Number
    MW5056503
    Event Type
    Malfunction
    Date Received
    September 21, 2015
    Date of Event
    September 21, 2015
    Report Date
    September 21, 2015
    Manufacturer
    BD
    Product Code
    FOZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    2

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A BD ANGIOCATH-N AUTOGUARD 24 GAUGE X 0.56 INCH BROKE OFF AT THE HUB. LOT NUMBERS INCLUDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    623516 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 3289840
    623517 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 5002915
    623518 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 3106688
    623519 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 5063827
    623520 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 4203557
    623521 ANGIOCATH N AUTOGUARD ANGIOCATH FOZ BD 4059581

    Patients

    Seq Age Sex Outcome Treatment
    1