BEUDAMED
    FDA Adverse Event Summary report: N

    VANISH POINT SYRINGES

    MDR report key: 6639545 · Received June 13, 2017

    Report

    Report Number
    MW5070382
    Date Received
    June 13, 2017
    Date of Event
    June 12, 2017
    Report Date
    June 13, 2017
    Manufacturer
    METROPOLITIAN STATE HOSPITAL
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PLUNGER PISTON (BLACK PART) IS MISSING. RETRACTABLE TECHNOLOGIES INC., (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    419252 VANISH POINT SYRINGES INSULIN SYRINGE U 100 FMF METROPOLITIAN STATE HOSPITAL F160913

    Patients

    Seq Age Sex Outcome Treatment
    1