BEUDAMED
    FDA Adverse Event Other Summary report: N

    EASYTOUCH 1 ML LEUR-LOCK SYRINGE BARREL SYRINGES

    MDR report key: 20951116 · Received December 16, 2024

    Report

    Report Number
    MW5163650
    Event Type
    Other
    Date Received
    December 16, 2024
    Date of Event
    December 11, 2024
    Report Date
    December 11, 2024
    Manufacturer
    MHC MEDICAL PRODUCTS
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    OUR INSTITUTION RECENTLY TRANSITIONED TO LOAD INSULIN VIALS IN THE PYXIS ALONG WITH LEUR LOCK INSULIN SYRINGES. OUR INSTITUTION ORDERED EASYTOUCH LEUR-LOCK U-100 INSULIN 1 ML SYRINGES MANUFACTURED BY MHC MEDICAL PRODUCTS. MHC ALSO MANUFACTURES 1 ML LEUR-LOCK SYRINGE BARREL SYRINGES. THESE TWO DIFFERENT SYRINGE PRODUCTS ARE LABELED AND PACKAGED SIMILARLY AND THE ACTUAL SYRINGES CLOSELY RESEMBLE EACH OTHER. EASYTOUCH 1ML SYRINGES WERE INCORRECTLY PULLED AND LOADED IN PYXIS WITH INSULIN VIALS INSTEAD OF U-100 INSULIN SYRINGES. REGISTERED NURSES WERE DRAWING UP INCORRECT VOLUME OF INSULIN IN MLS INSTEAD OF UNITS. REFERENCE REPORT: MW5163649.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1719961 EASYTOUCH 1 ML LEUR-LOCK SYRINGE BARREL SYRINGES SYRINGE, PISTON FMF MHC MEDICAL PRODUCTS

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown