BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LUER-LOK SYRINGE

    MDR report key: 22637 · Received June 21, 1995

    Report

    Report Number
    MW1006303
    Event Type
    Malfunction
    Date Received
    June 21, 1995
    Date of Event
    June 13, 1995
    Report Date
    June 13, 1995
    Manufacturer
    BECTON DICKINSON & CO.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    REMOVED SYRINGE FROM STERILE WRAPPER INSIDE OF HOOD AND FOUND WHAT LOOKS LIKE MUD ON THE OUTSIDE OF THE SYRINGE. (SUSPECTED CONTAMINATION).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUER-LOK SYRINGE 5ML SYRINGE FMF BECTON DICKINSON & CO.

    Patients

    Seq Age Sex Outcome Treatment
    1 *