BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECTON DICKINSON

    MDR report key: 3272605 · Received August 2, 2013

    Report

    Report Number
    MW5031313
    Event Type
    Malfunction
    Date Received
    August 2, 2013
    Date of Event
    August 2, 2013
    Report Date
    August 2, 2013
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    FOUND YELLOW PARTICLES INSIDE THE TIP CAP AND INSIDE THE BARREL OF A BECTON DICKINSON 60 ML LEURLOCK SYRINGE LOT NUMBER 3133408 EXP 05/2018.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    363194 BECTON DICKINSON 60 ML LUER LOCK SYRINGE FMF BECTON DICKINSON 3133408

    Patients

    Seq Age Sex Outcome Treatment
    1