FDA Adverse Event Malfunction Summary report: N

VESCO

MDR report key: 22156505 · Received June 6, 2025

Report

Report Number
3005670221-2025-00010
Event Type
Malfunction
Date Received
June 6, 2025
Date of Event
May 13, 2025
Report Date
June 6, 2025
Manufacturer
JIANGSU CAINA MEDICAL CO., LTD.
Product Code
FMF
PMA / PMN Number
K113091
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE RETURNED SAMPLES OF THIS EVENT WAS REQUESTED BUT HASN'T BEEN RECEIVED TILL NOW, NO SAMPLE FOR EVALUATION. THE DHR OF THIS LOT WAS REVIEWED WITHOUT ANY SIMILAR ISSUE, THE RETAINED SAMPLES WERE INSPECTED AND THEY ALL MEET THE SPECIFICATION. THE EVENT CAN'T BE CONFIRMED, THE ROOT CAUSE CAN'T DETECTED CURRENTLY. NO ACTION WILL BE TAKEN CURRENTLY, THIS ISSUE WILL BE MONITORED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED IF FURTHER INFORMATION RECEIVED.

Description of Event or Problem · 0

WE RECEIVED A CASE OF VESCO 2OML LUER LOCK SYRINGES FROM HEALTH CARE LOGISTICS. CUSTOMER STATED,"TWO TIMES TODAY WE HAVE USED THE SYRINGES, AND THE PLASTIC CRACKED LETTING THE IRON FLUID INSIDE TO SPRAY ACROSS THE TECHNICIAN USING IT. THE LOT NUMBER# 220101. NOT ALL ARE HAVING THIS DEFECT, BUT IT IS A CONCERN AS WEARE A CANCER CENTER AND IF CERTAIN CHEMOTHERAPY MEDICATIONS WERE USED TO DO THIS INSTEAD OF THE IRON IT COULD BE A SEVERE HEALTH HAZARD. VESCO NOW HAS THE DEFECTED SYRINGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1392402 VESCO DISPOSABLE SYRINGES FMF JIANGSU CAINA MEDICAL CO., LTD. 220101

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other