BEUDAMED
    FDA Adverse Event Other Summary report: N

    BD LUER-LOK TIP

    MDR report key: 6225020 · Received January 4, 2017

    Report

    Report Number
    MW5067051
    Event Type
    Other
    Date Received
    January 4, 2017
    Manufacturer
    BD
    Product Code
    FMF
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BD LUER-LOK TIP 10 ML (LOT: 5112986) SYRINGES WERE IDENTIFIED TO HAVE LEAKAGE PAST THE FIRST AND SECOND RIBS ON THE BLACK STOPPER. IDENTIFICATION OF THE FAULTY SYRINGES WERE DONE PRIOR TO ANY PATIENT ADMINISTRATION. SEVERITY: ERROR OCCURRED; MEDICATION DID NOT REACH PATIENT. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    6540 BD LUER-LOK TIP SYRINGES FMF BD 5112986

    Patients

    Seq Age Sex Outcome Treatment
    1