BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MCKESSON

    MDR report key: 19729383 · Received July 12, 2024

    Report

    Report Number
    19729383
    Event Type
    Malfunction
    Date Received
    July 12, 2024
    Date of Event
    March 25, 2024
    Report Date
    April 24, 2024
    Manufacturer
    MCKESSON MEDICAL-SURGICAL INC.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    SYRINGE WAS BEING USED TO INJECT CHEMOTHERAPY INTO A BAG AND LUER LOCK TIP BROKE OFF FROM SYRINGE, RESULTING IN SPILL INSIDE OF IV HOOD. SPILL WAS IMMEDIATELY CLEANED. EMPLOYEE'S PERSONAL PROTECTIVE EQUIPMENT (PPE) WAS REPLACED. DRUG WAS WASTED, AND DOSE WAS REMADE FOR PATIENT. CHEMICAL AGENT DID NOT REACH THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    273304 MCKESSON SYRINGE, PISTON FMF MCKESSON MEDICAL-SURGICAL INC. 102-S60C CJCC11-02

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other