BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    B-D

    MDR report key: 440254 · Received January 27, 2003

    Report

    Report Number
    MW1027380
    Event Type
    Malfunction
    Date Received
    January 27, 2003
    Date of Event
    January 15, 2003
    Report Date
    January 21, 2003
    Manufacturer
    B-D
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RUBBER STOPPER IN SYRINGE ERODED INTO MEDICATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 B-D 5 ML LUER LOCK SYRINGE FMF B-D * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other