BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SODIUM CHLORIDE 0.9%

    MDR report key: 1202098 · Received October 13, 2008

    Report

    Report Number
    MW5008618
    Event Type
    Malfunction
    Date Received
    October 13, 2008
    Date of Event
    October 11, 2008
    Report Date
    October 13, 2008
    Manufacturer
    EXCELSIOR MEDICAL
    Product Code
    NGT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    THE 5 ML SALINE FLUSH SYRINGES - X 3 - FOUND IN BOX WITH 2.5ML/3ML SYRINGES. LOT # OF BOX 68-012-9D. 5ML SYRINGES ARE LOT # 68-019-9D. SYRINGES APPEAR TO BE PACKAGED CORRECTLY. WHEN OPENING THE BOX, THE 5ML SYRINGES WERE STUCK TO THE TAPE ON THE BOX. DOSE OR AMOUNT: 2.5ML/3ML SYRINGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SODIUM CHLORIDE 0.9% NONE NGT EXCELSIOR MEDICAL 68-012-9D

    Patients

    Seq Age Sex Outcome Treatment
    1