BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECTON DICKINSON & CO

    MDR report key: 429050 · Received November 14, 2002

    Report

    Report Number
    MW1026808
    Event Type
    Malfunction
    Date Received
    November 14, 2002
    Date of Event
    November 14, 2002
    Report Date
    November 14, 2002
    Manufacturer
    *
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OPENED STERILE 30CC SYRINGE PKG & FOUND TIP WITH UNIDENTIFIABLE BLACK MATERIAL. COMPANY (QUALITY CONTROL) STATES "MACHINE GREASE OR BURNT PLASTIC" AND TO RETURN PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BECTON DICKINSON & CO 30 ML SYRINGE LEUR LOCK FMF * 30ML SYRINGE DG544901 (1)

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other