BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1 ML SINGLE-DOSE CARPUJECT

    MDR report key: 15638637 · Received October 19, 2022

    Report

    Report Number
    MW5112759
    Event Type
    Malfunction
    Date Received
    October 19, 2022
    Date of Event
    October 13, 2022
    Report Date
    October 18, 2022
    Manufacturer
    HOSPIRA, INC.
    Product Code
    IQG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    RN WENT TO TAKE OFF WHITE/GREEN CAP OF MORPHINE. MORPHINE GLASS SYRINGE SHATTERED. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2920768 1 ML SINGLE-DOSE CARPUJECT ADAPTOR, HOLDER, SYRINGE IQG HOSPIRA, INC. 37665CL

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown MORPHINE SULFATE