BEUDAMED
    FDA Adverse Event Other Summary report: N

    DUOPROSS 3 ML SYRINGE WITH 21G 1" NEEDLE

    MDR report key: 6199059 · Received December 20, 2016

    Report

    Report Number
    MW5066860
    Event Type
    Other
    Date Received
    December 20, 2016
    Manufacturer
    SHANGHAI MISAWA MEDICAL INDUSTRY CO., LTD.
    Product Code
    FMI
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE NEEDLE POPPED OUT OF THE NEEDLE HUB WHEN THE NEEDLE PUNCTURED THE SEPTUM OF A VIAL. DATES OF USE: (B)(6) 2016.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    840652 DUOPROSS 3 ML SYRINGE WITH 21G 1" NEEDLE 3 ML SYRINGE WITH NEEDLE FMI SHANGHAI MISAWA MEDICAL INDUSTRY CO., LTD. 20160602

    Patients

    Seq Age Sex Outcome Treatment
    1