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