BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VACUTAINER REDUCED DRAW CITRATE TUBE

    MDR report key: 53879 · Received December 6, 1996

    Report

    Report Number
    MW1010383
    Event Type
    Malfunction
    Date Received
    December 6, 1996
    Report Date
    September 12, 1996
    Manufacturer
    BECTON DICKINSON VACUTAINER SYSTEMS
    Product Code
    JKA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    BECTON DICKINSON VACUTAINER SYSTEMS, 1 BECTON DRIVE, FRANKLIN LAKES, NJ 07417-1885. WE HAVE RESEARCHED OUR COMPLAINT FILES AND FIND WE HAVE REPORTED OUR CUSTOMER'S CONCERNS TO YOU UNDER MFR REPORT # 1917413-1996-00002. ON 11/1 A MEMBER OF OUR CLINICAL LAB TEAM VISITED WITH THIS ACCOUNT TO DISCUSS THEIR CUSTOMER'S CONCERNS. FURTHER INVESTIGATION IS PLANNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VACUTAINER REDUCED DRAW CITRATE TUBE BLOOD COLLECTION TUBE JKA BECTON DICKINSON VACUTAINER SYSTEMS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *