FDA Adverse Event
Malfunction
Summary report: N
BD PEN NED UF MINI 90S/31G 3/16
MDR report key: 22004894
·
Received May 12, 2025
Report
- Report Number
- MW5170220
- Event Type
- Malfunction
- Date Received
- May 12, 2025
- Date of Event
- March 1, 2025
- Report Date
- May 5, 2025
- Manufacturer
- BECTON DICKINSON
- Product Code
- FMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IN, US
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ISSUES WITH BD PEN NED UF MINI 5MM 90S/31G3/16 HAVING BLUNT ENDS, NOT PENETRATING HIS SKIN, BENDING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1241156 | BD PEN NED UF MINI 90S/31G 3/16 | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | BECTON DICKINSON | 4149042 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 86 YR | Male |