BEUDAMED
    FDA Adverse Event Summary report: N

    1000 ML GRADUATED CYLINDER

    MDR report key: 12780650 · Received November 8, 2021

    Report

    Report Number
    MW5105215
    Date Received
    November 8, 2021
    Report Date
    January 8, 2021
    Manufacturer
    UNK
    Product Code
    KYW
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    HELLO - WE HAVE A SAFETY CONCERN THAT DID NOT RESULT IN AN ERROR BUT IT COULD CAUSE ERRORS, ESPECIALLY FOR PEDIATRIC PATIENTS. STAFF NOTICED THAT OUR 1000 ML GRADUATED CYLINDER HAS MARKINGS THAT ARE BOTH ASCENDING AND DESCENDING IN NUMBER. READING THE VOLUME IN THE CONTAINER ON THE WRONG SCALE COULD RESULT IN AN ERROR IN MEDICATION PREPARATION SUCH AS ORAL SUSPENSION COMPOUNDING IN LARGE QUANTITIES FOR A PEDIATRIC INSTITUTION SUCH AS OURS. THE CYLINDER HAS A LOGO FROM MARISCO ON IT. WE WILL NOTIFY (B)(6), THE COMPANY THAT WE USED TO PURCHASE THE GRADUATED CYLINDER. STAFF NOTICED THAT OUR 1000 ML GRADUATED CYLINDER HAS MARKINGS THAT ARE BOTH ASCENDING AND DESCENDING IN NUMBER. WE ATTEMPTED TO PURCHASE A REPLACEMENT 1000 ML GRADUATED CYLINDER BASED ON THE PRODUCT DESCRIPTION IN THE HEALTHCARE LOGISTICS CATALOG AND RECEIVED AN IDENTICAL GRADUATED CYLINDER WITH THE SAME ASCENDING AND DESCENDING NUMERIC SCALES. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1674305 1000 ML GRADUATED CYLINDER CONTAINER, LIQUID MEDICATION, GRADUATED KYW UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown