ORGANON FOLLISTIM PEN 2ND GEN PEN II 47338178

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-24 for ORGANON FOLLISTIM PEN 2ND GEN PEN II 47338178 manufactured by Becton Dickinson.

MAUDE Entry Details

Report Number2243072-2019-02099
MDR Report Key9110986
Date Received2019-09-24
Date of Report2019-09-26
Date of Event2019-08-27
Date Mfgr Received2019-09-09
Device Manufacturer Date2018-08-27
Date Added to Maude2019-09-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactBDX BRETT WILKO
Manufacturer Street9450 SOUTH STATE STREET
Manufacturer CitySANDY UT 84070
Manufacturer CountryUS
Manufacturer Postal84070
Manufacturer Phone8015652341
Manufacturer G1BECTON DICKINSON
Manufacturer Street1 BECTON DRIVE
Manufacturer CityFRANKLIN LAKES NJ 07417
Manufacturer CountryUS
Manufacturer Postal Code07417
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameORGANON FOLLISTIM PEN 2ND GEN PEN II
Generic NamePEN
Product CodeNSC
Date Received2019-09-24
Catalog Number47338178
Lot Number18221005
Device Availability*
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON
Manufacturer Address1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-09-24

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