BEUDAMED
    FDA Adverse Event Other Summary report: N

    TEXIUM NEEDLE FREE SYRINGE D425905

    MDR report key: 6144998 · Received December 1, 2016

    Report

    Report Number
    MW5066512
    Event Type
    Other
    Date Received
    December 1, 2016
    Report Date
    September 22, 2016
    Manufacturer
    BECTON DICKINSON AND CO.
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    ON 2016, I HAD A BD TEXIUM SYRINGE THAT HAD A LEAK WITH 5FU IN IT. NO PATIENT WAS INVOLVED. THIS SYRINGE WAS NOT USED AND A NEW 5FU DOSE WAS DRAWN UP USING ANOTHER SYRINGE. I HAVE ATTACHED A PICTURE OF THE SYRINGE WITH THE LEAK. IT IS A TEXIUM 10 ML NEEDLE FREE SYRINGE. ITEM NUMBER: MY8010 LOT: D425905 EXP: 09-2017. THE LEAK OCCURRED WHILE PULLING THE 5FU INTO THE SYRINGE. THE PLUNGER ROD WAS NOT PULLED AT AN ANGLE TOWARD THE USER. VERTICAL ALIGNMENT WAS MAINTAINED. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    790755 TEXIUM NEEDLE FREE SYRINGE D425905 TEXIUM NEEDLE FREE SYRINGE D425905 FMF BECTON DICKINSON AND CO.

    Patients

    Seq Age Sex Outcome Treatment
    1