BD INTEGRA SYRINGE WITH DETACHABLE NEEDLE
Report
- Report Number
- 1213809-2020-00363
- Event Type
- Malfunction
- Date Received
- June 2, 2020
- Date of Event
- March 8, 2020
- Report Date
- August 13, 2020
- Manufacturer
- BECTON DICKINSON MEDICAL SYSTEMS
- Product Code
- MEG
- UDI-DI
- 00382903052721
- PMA / PMN Number
- K011103
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- 003
Narratives
CORRECTION: THE CATALOG NUMBER HAS BEEN UPDATED. THE FOLLOWING FIELDS HAVE BEEN CORRECTED: B.5. DESCRIBE EVENT OR PROBLEM: IT WAS REPORTED THAT THE BD INTEGRA¿ SYRINGE WITH DETACHABLE NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASSIONS, HE HEARD A "POPPING SOUND" THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED. THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE". THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT (B)(6) 2020, WHEN LETTER WAS WRITTEN." I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON (B)(6) 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL. D.1. MEDICAL DEVICE BRAND NAME: BD INTEGRA¿ SYRINGE WITH DETACHABLE NEEDLE. D.2. MEDICAL DEVICE TYPE: MEG. D.2. MEDICAL DEVICE CATALOG#: 305272. D.2. MEDICAL DEVICE LOT#: UNKNOWN. D.4. MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. D.5. UNIQUE IDENTIFIER (UDI) #: (B)(4). G.5. PMA / 510(K)#: K011103. H.4. DEVICE MANUFACTURE DATE: UNKNOWN.
H.6. INVESTIGATION: NO PHOTOS OR SAMPLES WERE RECEIVED FOR EVALUATION. BATCH 9206310 IS NOT APPLICABLE TO THIS COMPLAINT AS THE VERBATIM DESCRIBES ISSUES WHEN USING AN INTEGRA SYRINGE. THE NUMBER ¿8020749¿ CORRESPONDS TO THE TOP WEB MATERIAL INFORMATION AND NO INTEGRA BATCH NUMBER WAS LISTED. HOWEVER, BASED ON THE EFFECTIVE DATES OF THE TOP WEB DRAWING NUMBER PROVIDED (DG177408) THE PRODUCT WAS MANUFACTURED IN THE TIME RANGE OF AUG 2009 TO DEC 2013. BASED ON THE VERBATIM, IT APPEARS THE USER WAS UNFAMILIAR WITH RETRACTABLE INTEGRA SYRINGES. THE DESCRIBED ¿POP¿ SOUND INDICATES THE RETRACTION MECHANISM WAS ACTIVATED AND WAS STATED ¿THE PLUNGER FLEW OUT OF THE SYRINGE¿ WHEN THE CANNULA LIKELY RETRACTED. THE ATTACHED IFU PROVIDES INSTRUCTIONS FOR USE AND HOW THE DEVICE IS INTENDED TO OPERATE. ADDITIONALLY, FROM THE POTENTIAL MANUFACTURE DATES LISTED IN THE DHR SECTION, THE PRODUCT IN QUESTION WAS EXPIRED DURING THE TIME OF USE. THEREFORE, THE PRODUCT CANNOT BE INVESTIGATED AS BD DOES NOT GUARANTEE THE PRODUCT¿S EFFICACY AND/OR PERFORMANCE AFTER IT EXPIRES. UNFORTUNATELY, A DEFINITIVE ROOT CAUSE DETERMINATION IS UNAVAILABLE BECAUSE NO SAMPLES OR PHOTOS WERE PROVIDED AND THE PRODUCT INFORMATION WAS EXPIRED. NO CORRECTIVE ACTIONS ARE NECESSARY AT THIS TIME. H3 OTHER TEXT : SEE H.10
CORRECTION: THE CATALOG AND LOT NUMBERS HAVE BEEN PROVIDED. THE FOLLOWING FIELDS HAVE BEEN UPDATED: B.5. DESCRIBE EVENT OR PROBLEM: IT WAS REPORTED THAT THE BD SYRINGE LUER-LOK¿ TIP WITH BD PRECISIONGLIDE¿ NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASSIONS, HE HEARD A "POPPING SOUND" THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE" THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT 2020-03-08, WHEN LETTER WAS WRITTEN. " I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON JANUARY 16TH, 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL. "STATED, HE'S BEEN USING THE PRODUCT FOR A LONG TIME AND NEVER HAD ANY ISSUES STATED, TAKES ONE SHOT PER WEEK ON SATURDAYS" D.1. MEDICAL DEVICE BRAND NAME: BD SYRINGE LUER-LOK¿ TIP WITH BD PRECISIONGLIDE¿ NEEDLE D.2. MEDICAL DEVICE TYPE: FMF D.2. MEDICAL DEVICE CATALOG#: 309574 D.2. MEDICAL DEVICE LOT#: 9206310 D.4. MEDICAL DEVICE EXPIRATION DATE: 2024-06-30 D.5. UNIQUE IDENTIFIER (UDI) #: (B)(4). G.5. PMA / 510(K)#: K980987 H.4. DEVICE MANUFACTURE DATE: 2019-07-25
IT WAS REPORTED THAT THE BD INTEGRA¿ SYRINGE WITH DETACHABLE NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASSIONS, HE HEARD A "POPPING SOUND" THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE" THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT (B)(6) 2020, WHEN LETTER WAS WRITTEN." I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON (B)(6) 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL.
IT WAS REPORTED THAT THE BD SYRINGE LUER-LOK¿ TIP WITH BD PRECISIONGLIDE¿ NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASSIONS, HE HEARD A "POPPING SOUND" THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE" THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT (B)(6) 2020, WHEN LETTER WAS WRITTEN." I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON (B)(6) 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL. "STATED, HE'S BEEN USING THE PRODUCT FOR A LONG TIME AND NEVER HAD ANY ISSUES STATED, TAKES ONE SHOT PER WEEK ON SATURDAYS."
IT WAS REPORTED THAT THE BD SYRINGE LUER-LOK¿ TIP WITH BD PRECISIONGLIDE¿ NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASSIONS, HE HEARD A "POPPING SOUND" THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE" THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT 2020-03-08, WHEN LETTER WAS WRITTEN. " I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON JANUARY 16TH, 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL. "STATED, HE'S BEEN USING THE PRODUCT FOR A LONG TIME AND NEVER HAD ANY ISSUES STATED, TAKES ONE SHOT PER WEEK ON SATURDAYS"
MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. DEVICE MANUFACTURE DATE: UNKNOWN. (B)(4).
IT WAS REPORTED THAT THE BD INTEGRA¿ SYRINGE WITH DETACHABLE NEEDLE WAS BEING USED TO INJECT TESTOSTERONE WHEN A "POPPING SOUND" WAS HEARD, AND THE PLUNGER "INSTANTLY" DEPRESSED TO THE BOTTOM. THE CONSUMER FOUND THE REMAINING DRUG IN THE NECK OF THE PLUNGER AND LEAKING FROM THE TOP. THIS COMPLAINT WAS CREATED TO CAPTURE THE 2ND OF 2 RELATED INCIDENTS. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: "CONSUMER IS REPORTING WHEN TAKING TESTOSTERONE INJECTIONS ON 3 OCCASIONS, HE HEARD A "POPPING SOUND." THE FIRST TIME HE HEARD, HE WAS DISPENSING AND HALFWAY THRU, HE HEARD THE "POP" AND HE IS NOT SURE ALL OF THE MEDICATION WAS DISPENSED. THE SECOND TIME IT HAPPENED, THE "PLUNGER FLEW OUT OF THE SYRINGE." THE THIRD TIME, THE PLUNGER "WENT TO THE BOTTOM" CONSUMER USED THE WORDS "TODAY" WHICH WOULD REPRESENT (B)(6) 2020, WHEN LETTER WAS WRITTEN." I¿VE BEEN USING SYRINGES MADE BY BD FOR ABOUT THREE YEARS FOR WEEKLY TESTOSTERONE INJECTIONS. I¿VE NEVER HAD ANY ISSUES WITH YOUR SYRINGES UNTIL THE LAST FEW WEEKS. SOMETHING CHANGED IN EITHER DESIGN OR MANUFACTURING AND IT IS NOT GOOD. I¿VE PICKED UP NEW REFILL OF BD INTEGRA SYRINGES WITH RETRACTING BD PRECISION GLIDE NEEDLE (3ML 2G X 1 ½ (0.7 MM X 40 MM) FROM THE PHARMACY ON (B)(6) 2020. SINCE THEN I¿VE HAD THREE OF THE NEW SYRINGES FAIL. IN THE FIRST INSTANCE, I HAD DRAWN TESTOSTERONE AND WAS INJECTING IT WHEN ABOUT HALF WAY THROUGH THE PLUNGER MADE A POPPING SOUND AND DEPRESSED INSTANTLY THE REMAINDER OF THE WAY IN. AT THAT TIME I THOUGHT IT WAS STRANGE AND I WASN¿T QUITE SURE WHERE THE REMAINING .5 ML OF THE DRUG WENT. IN THE SECOND INSTANCE I JUST BEGAN THE DRAW AND THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER FLEW OUT OF THE SYRINGE. I TOSSED THAT ONE AND THE NEXT ONE WAS FINE. TODAY I WAS JUST BEGINNING THE INJECTION, (THE NEEDLE WAS INSERTED AND I JUST STARTED TO PUSH THE PLUNGER), THERE WAS ANOTHER POPPING SOUND AND THE PLUNGER INSTANTLY WENT TO THE BOTTOM. THIS TIME I KNEW THERE WAS NO WAY THE DRUG WAS INJECTED THAT FAST. I INSPECTED THE PLUNGER AND FOUND THAT THE DRUG WAS IN THE NECK OF THE PLUNGER AND LEAKING OUT OF THE TOP AS WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 571619 | BD INTEGRA SYRINGE WITH DETACHABLE NEEDLE | PISTON SYRINGE | MEG | BECTON DICKINSON MEDICAL SYSTEMS | UNKNOWN | 00382903052721 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |