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 |