BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    20ML SYRINGE LUER-LOK TIP

    MDR report key: 14207406 · Received April 25, 2022

    Report

    Report Number
    MW5109360
    Event Type
    Malfunction
    Date Received
    April 25, 2022
    Date of Event
    April 19, 2022
    Report Date
    April 22, 2022
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    FOREIGN SUBSTANCE FOUND IN 20-ML LUER-LOK TIP SYRINGES. ALL OF THE SYRINGES IDENTIFIED WERE FROM LOT 2040571. THE MANUFACTURER IS BECTON DICKINSON. THE EXPIRATION IS 2027-01-31. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1085565 20ML SYRINGE LUER-LOK TIP SYRINGE, PISTON FMF BECTON DICKINSON 20405710

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown