BERRY AMBER PLASTIC VIALS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-28 for BERRY AMBER PLASTIC VIALS manufactured by Berry Global.

Event Text Entries

[103972462] Berry amber plastic vials dram 12 - used in prescription filling lids do not have the plastic inserts in them. Some are broken with plastic inserts in them. Very poor quality lids. Cannot be used/ would not be safe to use. Upc barcode: (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5076204
MDR Report Key7380874
Date Received2018-03-28
Date of Report2018-03-26
Date of Event2018-03-23
Date Added to Maude2018-03-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameBERRY AMBER PLASTIC VIALS
Generic NameDISPENSER, SOLID MEDICATION
Product CodeNXB
Date Received2018-03-28
Lot Number79117951
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBERRY GLOBAL
Manufacturer AddressPO BOX 959 EVANSVILLE IN 477060959 US 477060959


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-03-28

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