BEUDAMED
    FDA Adverse Event Summary report: N

    DEBLADE NEEDLE COUNTER

    MDR report key: 681770 · Received February 14, 2006

    Report

    Report Number
    681770
    Date Received
    February 14, 2006
    Date of Event
    January 27, 2006
    Report Date
    February 14, 2006
    Manufacturer
    DEROYAL INDUSTRIES
    Product Code
    MMK
    Report Source
    User Facility report
    Reporter Location
    WV, US

    Narratives

    Description of Event or Problem · 1

    A WHITE POWDERY SUBSTANCE WAS FOUND INSIDE THE STERILE PACKAGING OF THE DEROYAL DEBLADE NEEDLE COUNTER PRODUCT NUMBER 25-1403.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEBLADE NEEDLE COUNTER SAFETY NEEDLE CONTAINER MMK DEROYAL INDUSTRIES 25-1403 4176521
    2 DEBLADE NEEDLE COUNTER SAFETY NEEDLE CONTAINER MMK DEROYAL INDUSTRIES 25-1403 4175644

    Patients

    Seq Age Sex Outcome Treatment
    1 *