BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD

    MDR report key: 2222048 · Received August 18, 2011

    Report

    Report Number
    MW5021818
    Event Type
    Injury
    Date Received
    August 18, 2011
    Date of Event
    August 17, 2011
    Report Date
    August 18, 2011
    Manufacturer
    BD
    Product Code
    FMF
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    AT END OF A PROCEDURE TO ADD PLASMA TO A PT'S CRYOPRESERVE PRODUCT, A THREAD LIKE MATERIAL WAS NOTED IN 60 ML SYRINGE BARREL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD SYRINGE FMF BD 309653 1096734

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Disability PLASMA