BEUDAMED
    FDA Adverse Event Other Summary report: N

    ASCENSIA MICROLET W/ADJ ENDCAP

    MDR report key: 616663 · Received June 21, 2005

    Report

    Report Number
    1810909-2005-00158
    Event Type
    Other
    Date Received
    June 21, 2005
    Date of Event
    June 13, 2005
    Report Date
    June 13, 2005
    Manufacturer
    BAYER HEALTHCARE, LLC
    Product Code
    FMK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    FAMILY MEMBER HELPING PT WITH TESTING BLOOD. ONE PT PRICKED THEIR FINGER WITH OTHER FAMILY MEMBER LANCET.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSIA MICROLET W/ADJ ENDCAP LANCING DEVICE FMK BAYER HEALTHCARE, LLC 6540P UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN