FDA Adverse Event
Injury
Summary report: N
SYR BD NED UFINE 0.5 ML 10'S 30G 1/2
MDR report key: 3416331
·
Received October 10, 2013
Report
- Report Number
- MW5032273
- Event Type
- Injury
- Date Received
- October 10, 2013
- Date of Event
- September 28, 2013
- Report Date
- June 28, 2013
- Manufacturer
- BD
- Product Code
- FMF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TN, US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
PER PT SOME OF HIS SYRINGES HAVE NO MARKINGS ON THEM OTHER THAN A FEW LINES, THERE ARE NO NUMBERS, ADV SHOULD HAVE UNITS MARKED FROM 10 TO 50 PER IMG ON BD WEBSITE OF THIS MDC, PER SPOUSE (WHO HAS BETTER VISION) ABOUT 4 OR 5 OUT OF A 100 HAVE NO NUMBERS JUST LINES, FROM TWO SEPARATE ORDERS WITH DIFFERENT LOTS (3168094 AND 3043367), DUE TO PT'S POOR VISION HE HAS INCORRECTLY DOSED HIMSELF LOOKING FOR NUMBERS THAT WEREN'T THERE. DOSE, FREQUENCY AND ROUTE USED: SUBCUTANEOUS. THERAPY DATES: TWICE DAILY. DIAGNOSIS FOR USE: DIABETES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 516015 | SYR BD NED UFINE 0.5 ML 10'S 30G 1/2 | SYRINGE | FMF | BD | 3168094 | ||
| 516016 | SYR BD NED UFINE 0.5ML 10'S 30G 1/2 | SYRINGE | FMF | BD | 3043367 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Life Threatening |