FDA Adverse Event Malfunction Summary report: N

SYRINGE 0.3ML 31GA 8MM TW 10BAG 500 TWN

MDR report key: 19139503 · Received April 18, 2024

Report

Report Number
3024508819-2024-00003
Event Type
Malfunction
Date Received
April 18, 2024
Date of Event
March 20, 2024
Report Date
July 9, 2024
Manufacturer
EMBECTA MEDICAL I LLC - HOLDREGE, NE
Product Code
FMF
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: SAMPLES WERE RECEIVED AND AN INVESTIGATION WAS PERFORMED. THIS IS THE 1ST COMPLAINT FOR THE REPORTED LOT NUMBER. A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED AND NO NON-CONFORMANCES WERE RAISED IN ASSOCIATION WITH THIS TYPE OF EVENT FOR THIS LOT. EMBECTA WAS NOT ABLE TO DUPLICATE OR CONFIRM THE INDICATED ISSUE AND BASED ON TREND ANALYSIS NO FURTHER ACTION IS REQUIRED AT THIS TIME. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. BASED ON THE ABOVE, NO ADDITIONAL INVESTIGATION AND CORRECTIVE/PREVENTATIVE ACTION (CAPA) OR SITUATIONAL ANALYSIS (SA) IS REQUIRED.

Description of Event or Problem · 0

PER EMAIL RECEIVED: "SCALE MARKING DEFECTIVE. INACCURATE SCALE MARKINGS. LOT: 3142983. CATALOG: 328822. SAMPLES: YES CL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2242463 SYRINGE 0.3ML 31GA 8MM TW 10BAG 500 TWN SYRINGE, PISTON FMF EMBECTA MEDICAL I LLC - HOLDREGE, NE 328822 3142983

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown