BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LUER LOCK

    MDR report key: 5161777 · Received October 12, 2015

    Report

    Report Number
    MW5057210
    Event Type
    Malfunction
    Date Received
    October 12, 2015
    Date of Event
    October 12, 2015
    Report Date
    October 12, 2015
    Manufacturer
    BD
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    FOUND BROWN MARKS (DIRT?) ON OUTSIDE OF STERILE SYRINGE WHILE IN PACKAGING FOR BD 60ML LUER LOCK SYRINGE LOT #5162782 EXP 6-2020. REPORTING HERE AS WELL AS LEFT MESSAGE WITH PRODUCT COMPLAINT LINE AT MANUFACTURER. REASON FOR USE: USE TO DRAW UP STERILE MEDICATIONS FOR IV PREPARATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    675153 LUER LOCK SYRINGE FMF BD 5162782

    Patients

    Seq Age Sex Outcome Treatment
    1