FDA Adverse Event Malfunction Summary report: N

SYRINGE, PISTON

MDR report key: 18523367 · Received January 17, 2024

Report

Report Number
3005670221-2023-00009
Event Type
Malfunction
Date Received
January 17, 2024
Report Date
September 12, 2023
Manufacturer
JIANGSU CAINA MEDICAL CO., LTD.
Product Code
FMF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT SHOULD BE MANUAL USE, NOT BE USED IN CONNECTION WITH PUMP. THIS IS UNINTENDED USE ISSUE, NOT A PRODUCT QUALITY ISSUE.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THEY ARE USING THE CAH BRAND SYRINGES IN THE ALARIS INFUSION PUMP AND EXPERIENCING MEDICATION DELIVERING FASTER THAN SHOULD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2003951 SYRINGE, PISTON FMF JIANGSU CAINA MEDICAL CO., LTD. 20ML

Patients

Seq Age Sex Outcome Treatment
1 Unknown