BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    0.9% SODIUM CHLORIDE INJECTION, USP

    MDR report key: 2968233 · Received February 11, 2013

    Report

    Report Number
    MW5028992
    Event Type
    Malfunction
    Date Received
    February 11, 2013
    Date of Event
    February 8, 2013
    Report Date
    February 11, 2013
    Manufacturer
    BD
    Product Code
    NGT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ISSUE IDENTIFIED WITH 0.9% SODIUM CHLORIDE INJECTION 10ML FLUSH MADE BY BD NHRIC# (B)(4) LOT# 2306311 EXP 2015-10. CLEAR PLASTIC PIECE ATTACHED TO BLACK PLUNGER DISLODGES DURING USE. DATES OF USE: (B)(6) 2013. DIAGNOSIS OR REASON FOR USE: LINE FLUSH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    59745 0.9% SODIUM CHLORIDE INJECTION, USP NS FLUSH NGT BD 2306311

    Patients

    Seq Age Sex Outcome Treatment
    1