BEUDAMED
    FDA Adverse Event Summary report: N

    BECTON DICKINSON & CO

    MDR report key: 287308 · Received July 25, 2000

    Report

    Report Number
    MW1019375
    Date Received
    July 25, 2000
    Date of Event
    July 17, 2000
    Report Date
    July 19, 2000
    Manufacturer
    BECTON DICKONSON & CO.
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE WAS DRAWING BACTERIOSTATIC INTO 3CC BD SYRINGE WHEN NURSE NOTICED THERE WAS A FOREIGN OBJECT FLOATING IN SYRINGE. PARTICLE WAS TOO BIG TO FIT THROUGH PLASTIC CANNULA ON SYRINGE. IT WAS IN SYRINGE PRIOR. PT NOT INVOLVED. SPOKE TO MFR REP, RETURNED SYRINGE AND BACTERIOSTATIC INVOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BECTON DICKINSON & CO 3CC SYRINGE W/BLUNT CANNULA FMF BECTON DICKONSON & CO. DG63800 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA