BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SAFETY GLIDE SYRINGE

    MDR report key: 3840790 · Received May 23, 2014

    Report

    Report Number
    MW5036358
    Event Type
    Malfunction
    Date Received
    May 23, 2014
    Date of Event
    May 6, 2014
    Report Date
    May 22, 2014
    Manufacturer
    BD
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE SYRINGE WAS OBSERVED TO HAVE A CRACK IN IT AND THIS IS THE SECOND SUCH SYRINGE NURSING NOTED TO BE CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    307121 SAFETY GLIDE SYRINGE 3 ML 23 G XL INJECTION LEUR-LOK FMF BD 00382903059058 305905

    Patients

    Seq Age Sex Outcome Treatment
    1 Other