BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECKTON-DICKINSON SYRINGE

    MDR report key: 185404 · Received August 31, 1998

    Report

    Report Number
    1317056-1998-00030
    Event Type
    Malfunction
    Date Received
    August 31, 1998
    Date of Event
    August 3, 1998
    Report Date
    August 3, 1998
    Manufacturer
    SCHNEIDER/NAMIC
    Product Code
    DXT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    END USER HOSPITAL REPORTED THAT WHILE PULLING BACK ON CONTROL SYRINGE ATTACHED TO THE MANIFOLD, AIR WAS PULLING IN AND CAUSING BUBBLES. THERE WAS NO PATIENT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BECKTON-DICKINSON SYRINGE 20CC CONTROL SYRINGE DXT SCHNEIDER/NAMIC NA 179222

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN