BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYRINGE 3 ML L/L NO NEEDL 9657

    MDR report key: 12954541 · Received December 6, 2021

    Report

    Report Number
    MW5105874
    Event Type
    Injury
    Date Received
    December 6, 2021
    Report Date
    December 2, 2021
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    PATIENT'S MOM REPORTS THE 3ML IS VERY STIFF AND IS DIFFICULT TO PUSH THE MEDICATION, AND CAUSES DISCOMFORT AS SHE INJECTS THE MEDICATION. REQUESTED 1 ML SYRINGE - UNKNOWN IF MD AWARE. NO FURTHER INFORMATION PROVIDED. REPORTED TO (B)(6) BY PT/CAREGIVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1843335 SYRINGE 3 ML L/L NO NEEDL 9657 SYRINGE, PISTON FMF BECTON DICKINSON

    Patients

    Seq Age Sex Outcome Treatment
    1 Male