BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INSULIN SYRINGE

    MDR report key: 18961 · Received January 13, 1995

    Report

    Report Number
    MW1004754
    Event Type
    Malfunction
    Date Received
    January 13, 1995
    Date of Event
    December 30, 1994
    Report Date
    January 5, 1995
    Manufacturer
    RUGBY LABORATORIES, INC.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A NEW AND UNUSED NEEDLE WAS BENT AND PROTRUDING THROUGH THE CAP ON THE SYRINGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INSULIN SYRINGE INSULIN SYRINGE FMF RUGBY LABORATORIES, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 *