FDA Adverse Event
Malfunction
Summary report: N
BAGFLOW
MDR report key: 8523297
·
Received April 17, 2019
Report
- Report Number
- 8523297
- Event Type
- Malfunction
- Date Received
- April 17, 2019
- Date of Event
- April 1, 2019
- Report Date
- April 2, 2019
- Manufacturer
- MEDICAL SPECIALTY INNOVATIONS, INC.
- Product Code
- FRN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
UPON GETTING DEVICE FROM EXCHANGE CART NOTICED IN PACKAGING FOREIGN SUBSTANCE LIKE A BUG IN PACKAGING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 316167 | BAGFLOW | PUMP, INFUSION | FRN | MEDICAL SPECIALTY INNOVATIONS, INC. | 2988 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |