FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 3251522
·
Received May 2, 2013
Report
- Report Number
- 3251522
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Report Date
- March 29, 2013
- Manufacturer
- *
- Product Code
- ---
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
Narratives
Description of Event or Problem · 1
A NURSE PULLED A 30 UNIT INSULIN SYRINGE AND OPENED IT AND IT HAD SOME TYPE OF DUSTY FUR ON THE NEEDLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 193642 | * | * | --- | * | |||
| 193805 | * | SYRINGE | FMF | BECTON DICKINSON | * | 2298387 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |