BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOI-STIR ORAL SWABSTICKS

    MDR report key: 567578 · Received January 19, 2005

    Report

    Report Number
    567578
    Event Type
    Malfunction
    Date Received
    January 19, 2005
    Date of Event
    January 17, 2005
    Report Date
    January 19, 2005
    Manufacturer
    KINGSWOOD LABORATORIES, INC.
    Product Code
    KXG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US

    Narratives

    Description of Event or Problem · 1

    NURSE OPENED A PACKAGE OF ORAL SWABSTICKS AND NOTED A GREEN FOREIGN SUBSTANCE ON ONE OF THE SWABS WHERE IT MEETS THE HANDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOI-STIR ORAL SWABSTICKS ORAL SWABSTICK KXG KINGSWOOD LABORATORIES, INC. NSN 6510-269-1948 1233

    Patients

    Seq Age Sex Outcome Treatment
    1 *