BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SYRINGE

    MDR report key: 4173472 · Received September 19, 2014

    Report

    Report Number
    4173472
    Event Type
    Malfunction
    Date Received
    September 19, 2014
    Date of Event
    May 10, 2014
    Report Date
    September 19, 2014
    Manufacturer
    BECTON DICKINSON & CO.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    60CC IV SYRINGE CAME OUT OF THE PACKAGE BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    582873 BD SYRINGE SYRINGE, PISTON FMF BECTON DICKINSON & CO. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 15 DAY