BEUDAMED
    FDA Adverse Event Other Summary report: N

    TERUMO

    MDR report key: 225418 · Received May 26, 1999

    Report

    Report Number
    MW1016409
    Event Type
    Other
    Date Received
    May 26, 1999
    Date of Event
    May 21, 1999
    Report Date
    May 26, 1999
    Manufacturer
    TERUMO MEDICAL CORP.
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE INJECTING LOCAL ANESTHETIC INTO PT FOR REGIONAL BLOCK, THE SYRINGE EXPLODED SHOWERING THE PT, THE PHYSICIAN AND HIS ASSISTANT WITH THE MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TERUMO SYRINGE FMF TERUMO MEDICAL CORP. 55.20L XC2720

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other