BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EXACTA-MED DISPENSER

    MDR report key: 74115 · Received March 6, 1997

    Report

    Report Number
    MW1010891
    Event Type
    Malfunction
    Date Received
    March 6, 1997
    Date of Event
    March 6, 1997
    Report Date
    March 6, 1997
    Manufacturer
    BAXA CORP.
    Product Code
    KYX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    SYRINGE HAD A MISPRINTED CALIBRATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EXACTA-MED DISPENSER ORAL SYRINGE KYX BAXA CORP. UNK L09614

    Patients

    Seq Age Sex Outcome Treatment
    1 NA