FDA Adverse Event
Malfunction
Summary report: N
MCKESSON BRAND
MDR report key: 22871014
·
Received August 22, 2025
Report
- Report Number
- 1451040-2025-00076
- Event Type
- Malfunction
- Date Received
- August 22, 2025
- Date of Event
- August 4, 2025
- Report Date
- August 22, 2025
- Manufacturer
- LIFELONG MEDITECH PRIVATE LIMITED
- Product Code
- FMF
- UDI-DI
- 10612479206974
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE CUSTOMER REPORTED RESISTANCE WHEN PULLING THE SYRINGE PLUNGER PAST THE 2.5 ML MARK, DESCRIBING IT AS A "SPEED BUMP" SENSATION. THIS CAUSED LEAKAGE DURING IM VITAMIN DRAWING, RESULTING IN FLUID ON THE PLUNGER AND THE STAFF MEMBER'S HAND. NO INFORMATION WAS RECEIVED REGARDING ANY SERIOUS INJURY AS A RESULT OF THIS PRODUCT ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 209576 | MCKESSON BRAND | SYRINGE, LL 3CC | FMF | LIFELONG MEDITECH PRIVATE LIMITED | 032503-AV | 10612479206974 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |