BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD INSYTE AUTOGUARD 18 GA 1.16 IN

    MDR report key: 563328 · Received September 12, 2003

    Report

    Report Number
    563328
    Event Type
    Malfunction
    Date Received
    September 12, 2003
    Date of Event
    August 1, 2003
    Report Date
    September 12, 2003
    Manufacturer
    BD MEDICAL SYSTEMS
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD INSYTE AUTOGUARD 18 GA 1.16 IN NEEDLE FMI BD MEDICAL SYSTEMS * 2148198

    Patients

    Seq Age Sex Outcome Treatment
    1 *