BANYAN STAT KIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-04-22 for BANYAN STAT KIT manufactured by Banyan International Corp..

Event Text Entries

[4359246] I ordered an emergency medication kit from (b)(6). It was shipped to my office missing 7 medications. I was not notified of the missing items. When i received the kit i discovered it was incomplete. As of today (b)(6) 2013 i am still missing 1 med, 14 months later. I would not have ordered this kit if informed it was missing medications. Kits should not be sold if not complete. This could create a serious situation. Emergency medication kit shipped missing 7 listed medications.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5035785
MDR Report Key3775726
Date Received2014-04-22
Date of Report2013-04-11
Date of Event2013-02-18
Date Added to Maude2014-04-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBANYAN STAT KIT
Generic NameBANYAN STAT KIT
Product CodeLRR
Date Received2014-04-22
Lot Number32630
Device Sequence No1
Device Event Key0
ManufacturerBANYAN INTERNATIONAL CORP.


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-04-22

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