FDA Adverse Event
Malfunction
Summary report: N
BODYGUARD MICROSET WITH FILTER
MDR report key: 5553844
·
Received April 4, 2016
Report
- Report Number
- MW5061527
- Event Type
- Malfunction
- Date Received
- April 4, 2016
- Date of Event
- March 31, 2016
- Report Date
- April 4, 2016
- Manufacturer
- CAESAREA MEDICAL ELECTRONICS LTD.
- Product Code
- FPA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
BODYGUARD TUBING REF #(B)(4), LOT 12424327, EXP. 12/2020, WAS FOUND TO HAVE A PIECE OF BLACK FOREIGN MATTER WITHIN THE PACKAGING. THE PRODUCT IS NOT COMPOUNDED. THE PRODUCT IS NOT OVER-THE-COUNTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 202051 | BODYGUARD MICROSET WITH FILTER | BODYGUARD MICROSET WITH FILTER | FPA | CAESAREA MEDICAL ELECTRONICS LTD. | 12424327 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |