FDA Adverse Event
Malfunction
Summary report: N
SYRINGE 50-60ML L/L NO NEEDLE
MDR report key: 23415730
·
Received October 29, 2025
Report
- Report Number
- MW5178184
- Event Type
- Malfunction
- Date Received
- October 29, 2025
- Report Date
- October 24, 2025
- Manufacturer
- BECTON DICKINSON AND COMPANY
- Product Code
- FMF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
- Health Professional
- N
Narratives
Description of Event or Problem · 0
PT NEEDS EXTRA SYRINGE 50-60ML AND CADD EXT SET AS PT REPORTED THAT ABOUT 4 MONTHS AGO HE HAD DEFECTIVE SUPPLIES AND HAS OCCASIONALLY DROPPED SOME SUPPLIES ON THE FLOOR AND WOULD LIKE TO REPLENISH THAT SUPPLY. NO ADDITIONAL INFORMATION OR DETAILS AVAILABLE. " DID THE REPORTED PRODUCT FAULT OCCUR WHILE IN USE WITH THE PATIENT? NO; " DID THE PRODUCT ISSUE CAUSE OR CONTRIBUTE TO PATIENT OR CLINICAL INJURY? NO; " " IS THE ACTUAL DEVICE AVAILABLE FOR INVESTIGATION? YES, UPON RETURN " DID WE REPLACE DEVICE? YES; " DID THE PATIENT HAVE A BACKUP DEVICE THEY WERE ABLE TO SWITCH TO? YES; " IF YES, WAS THE PATIENT ABLE TO SUCCESSFULLY CONTINUE THEIR INFUSION? YES; " IS THE INFUSION LIFE-SUSTAINING? YES"; WHAT IS THE OUTCOME OF THE EVENT? RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1541090 | SYRINGE 50-60ML L/L NO NEEDLE | SYRINGE, PISTON | FMF | BECTON DICKINSON AND COMPANY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | BOSENTAN.| REMODULIN MDV.| STERILE DILUENT. | TADALAFIL. |