BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TEVADAPTOR, CLOSED DRUG RECONSTITUTION AND TRANSFER SYSTEM

    MDR report key: 6526812 · Received April 27, 2017

    Report

    Report Number
    3002807615-2017-00002
    Event Type
    Injury
    Date Received
    April 27, 2017
    Date of Event
    March 28, 2017
    Report Date
    April 27, 2017
    Manufacturer
    TEVA MEDICAL LTD., MIGADA SITE
    Product Code
    ONB
    PMA / PMN Number
    K141448
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE NOT RETURNED FOR EVALUATION.

    Description of Event or Problem · 1

    SPONTANEOUS, CONSUMER, SERIOUS. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    307460 TEVADAPTOR, CLOSED DRUG RECONSTITUTION AND TRANSFER SYSTEM TEVADAPTOR, CLOSED DRUG RECONSTITUTION AND TRANSFER SYSTEM ONB TEVA MEDICAL LTD., MIGADA SITE

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Other