BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD PEN NED UF NANO 4MM 90'S

    MDR report key: 6102205 · Received November 10, 2016

    Report

    Report Number
    MW5066022
    Event Type
    Malfunction
    Date Received
    November 10, 2016
    Date of Event
    May 1, 2016
    Report Date
    November 4, 2016
    Manufacturer
    BD
    Product Code
    FMI
    UDI-DI
    08290320883
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    KINKS IN NEEDLE INSULIN NOT DELIVERED. IS THE PRODUCT COMPOUNDED: NO. IS THE PRODUCT OVER-THE-COUNTER: NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    744437 BD PEN NED UF NANO 4MM 90'S BD PEN NED UF NANO 4MM 90'S FMI BD 6089632 08290320883

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR