BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAREPOINT SAFETY LUER LOCK SYRINGE

    MDR report key: 11404264 · Received March 2, 2021

    Report

    Report Number
    MW5099743
    Event Type
    Malfunction
    Date Received
    March 2, 2021
    Report Date
    February 26, 2021
    Manufacturer
    ALLISON MEDICAL, INC
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    THE PLUNGER DOES NOT ATTACH TO THE RUBBER STOPPER WHICH CAUSES FAILURE OF WITHDRAWING LIQUID OUT OF THE VIAL. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299098 CAREPOINT SAFETY LUER LOCK SYRINGE SYRINGE, PISTON FMF ALLISON MEDICAL, INC 3ML 25G X 1''.50MM X 25.4MM 20200915

    Patients

    Seq Age Sex Outcome Treatment
    1