FDA Adverse Event
Malfunction
Summary report: N
18 GAUGE BLUNT FILL HYPO NEEDLE
MDR report key: 18858077
·
Received March 6, 2024
Report
- Report Number
- MW5152457
- Event Type
- Malfunction
- Date Received
- March 6, 2024
- Report Date
- March 4, 2024
- Manufacturer
- SOL-MILLENNIUM MEDICA, INC.
- Product Code
- LHI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
WHEN THE SOL-M BLUNT FILL NEEDLE IS USED TO PUNCTURE MEDICATION VIALS, IT CAN CORE OUT THE RUBBER AND PUSH IT INTO THE MEDICATION VIAL, THUS CONTAMINATING THE VIAL. POTENTIAL FOR DRAWING THE PIECE OF RUBBER BACK INTO THE SYRINGE AND INJECTING INTO A PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 160789 | 18 GAUGE BLUNT FILL HYPO NEEDLE | SET, I.V. FLUID TRANSFER | LHI | SOL-MILLENNIUM MEDICA, INC. | 110022 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |