BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NORMAL SALINE IV FLUSH SYRINGE 10ML

    MDR report key: 1020012 · Received March 25, 2008

    Report

    Report Number
    MW5006040
    Event Type
    Malfunction
    Date Received
    March 25, 2008
    Report Date
    March 25, 2008
    Manufacturer
    MEDEFIL, INC
    Product Code
    NGT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    10ML PREPACKAGED SYRINGES OF 0.95% SODIUM CHLORDE NDC# 64253-111-30, APPEAR TO HAVE DIRT ON THE PLUNGERS INSIDE OF THE OVERWRAP FOR THE SYRINGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NORMAL SALINE IV FLUSH SYRINGE 10ML NONE NGT MEDEFIL, INC S07341

    Patients

    Seq Age Sex Outcome Treatment
    1