BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD LUER LOK

    MDR report key: 1003910 · Received February 20, 2008

    Report

    Report Number
    1317056-2007-00128_2
    Event Type
    Other
    Date Received
    February 20, 2008
    Date of Event
    November 21, 2007
    Report Date
    February 20, 2008
    Manufacturer
    BECTON DICKINSON DIVISION
    Product Code
    FMF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    AS REPORTED, AS THE DR WAS INJECTING USING A 10ML SYRINGE, IT "BLEW-UP" THROWING BLOOD ALL OVER THE DR. THERE WAS NO PATIENT COMPLICATIONS RESULTING FROM THIS INCIDENT. THE USED SYRINGE IS BEING RETURNED FOR EVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD LUER LOK 10ML BD LUER LOK TIP SYRINGE FMF BECTON DICKINSON DIVISION NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other