BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ULTICARE TUBERCULIN SAFETY SYRINGE

    MDR report key: 14712457 · Received June 15, 2022

    Report

    Report Number
    MW5110358
    Event Type
    Malfunction
    Date Received
    June 15, 2022
    Date of Event
    June 5, 2022
    Report Date
    June 13, 2022
    Manufacturer
    ULTI MED, INC.
    Product Code
    MEG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    NEW TUBERCULIN SYRINGE BY ULTICARE 1.0ML IS SIMILAR TO INSULIN SYRINGE BY BD, SIMILAR CAP COLOR - HIGH RISK FOR STAFF TO MIX UP THE SYRINGES IN DRAWING UP MEDICATIONS MAY RESULT IN ADMINISTRATION ERROR. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2365256 ULTICARE TUBERCULIN SAFETY SYRINGE SYRINGE, ANTISTICK MEG ULTI MED, INC. 210610

    Patients

    Seq Age Sex Outcome Treatment
    1 01 DA Prefer Not To Disclose Other