BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD 60ML SYRINGE

    MDR report key: 5929549 · Received August 31, 2016

    Report

    Report Number
    MW5064561
    Event Type
    Malfunction
    Date Received
    August 31, 2016
    Date of Event
    August 26, 2016
    Report Date
    August 31, 2016
    Manufacturer
    BD
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    I HAVE A PRODUCT QUALITY CONCERN. BD 60ML SYRINGE LUER-LOK TIP REF # (B)(4). LOT 6132833. EXP 2021-05. DIR PRESENT INSIDE PACKAGING. I HAVE THE PRODUCT. DIAGNOSIS OR REASON FOR USE: DURING PHARMACY COMPOUNDING STERILE PREPARATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    571116 BD 60ML SYRINGE BD 60ML SYRINGE FMI BD 6132833

    Patients

    Seq Age Sex Outcome Treatment
    1