FDA Adverse Event Malfunction Summary report: N

SYRINGE 30ML L/L NO NDL

MDR report key: 10032296 · Received May 6, 2020

Report

Report Number
MW5094403
Event Type
Malfunction
Date Received
May 6, 2020
Report Date
April 30, 2020
Manufacturer
BD
Product Code
FMF
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

PT INFUSES RUCONEST 2100 UNITS (14ML) TO 4200 UNITS (28ML) BY SLOW INTRAVENOUS INJECTION OVER APPROX 5 MINS TWICE A WEEK AND AS NEEDED BASIS FOR BREAKTHROUGH ATTACKS. F/U CALL OUT TO PT, PT REPORTED THE ONLY ISSUES SHE'S HAVING WITH THE 30ML SYRINGES IS THAT THEY REQUIRE HER TO USE UP TO 3 SYRINGES PER INFUSION BECAUSE SOME ARE BREAKING. SHE WOULD LIKE TO TRY A DIFFERENT MFR OTHER THAN BD WHICH SHE IS HAVING ISSUES WITH. REPORTED TO (B)(6) BY PT/CAREGIVER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
495000 SYRINGE 30ML L/L NO NDL SYRINGE, PISTON FMF BD

Patients

Seq Age Sex Outcome Treatment
1