FDA Adverse Event
Malfunction
Summary report: N
SYRINGE, PISTON
MDR report key: 22529620
·
Received July 16, 2025
Report
- Report Number
- MW5172817
- Event Type
- Malfunction
- Date Received
- July 16, 2025
- Date of Event
- July 13, 2025
- Report Date
- July 13, 2025
- Manufacturer
- BD / BECTON DICKINSON
- Product Code
- FMF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IL, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
OPENED A STERILE PACKAGED SYRINGE BARREL FROM BD AND THE SYRINGE IS DIRTY. DISCOVERED AFTER I PUT THE MEDICATION FOR MY RARE GENETIC DISEASE IN IT. RESULTED IN LOSS OF MY DOSAGE OF MEDICINE. MY MEDICINE REQUIRES PRIOR AUTHORIZATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 807603 | SYRINGE, PISTON | SYRINGE, PISTON | FMF | BD / BECTON DICKINSON | SEE PICTURES | SEE PICTURES |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Female | STRENSIQ. |