Brand Name | MCKESSON SYRINGE/NDL,TB, 1CC |
Type of Device | SYRINGE, PISTON |
Manufacturer (Section D) |
MCKESSON MEDICAL-SURGICAL INC. |
1125 sycamore road |
manteno IL 60950 |
|
MDR Report Key | 16193959 |
MDR Text Key | 307579003 |
Report Number | 16193959 |
Device Sequence Number | 1 |
Product Code |
FMF
|
UDI-Device Identifier | 10612479207322 |
UDI-Public | 10612479207322 |
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
User Facility
|
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial |
Report Date |
01/03/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/18/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | 16-SNT1C2705 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Was the Report Sent to FDA? |
Yes
|
Date Report Sent to FDA | 01/03/2023 |
Event Location |
Outpatient Treatment Facility
|
Date Report to Manufacturer | 01/18/2023 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|