Brand Name | BD 3ML LEUR-LOK TIP SYRINGE |
Type of Device | SYRINGE, PISTON |
Manufacturer (Section D) |
BECTON, DICKINSON AND COMPANY/CAREFUSION 303, INC. |
|
|
MDR Report Key | 9982636 |
MDR Text Key | 188691970 |
Report Number | MW5094202 |
Device Sequence Number | 1 |
Product Code |
FMF
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Pharmacist
|
Type of Report
| Initial |
Report Date |
04/16/2020 |
6 Devices were Involved in the Event: |
1
2
3
4
5
6
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | REF309657 |
Device Lot Number | 9048592 |
Was Device Available for Evaluation? |
Yes
|
Date Returned to Manufacturer | 04/16/2020 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
Not provided |
Initial Date FDA Received | 04/20/2020 |
Was Device Evaluated by Manufacturer? |
No Information
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|