BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BD 60 ML LUER-LOC SYRINGE

    MDR report key: 7013449 · Received November 9, 2017

    Report

    Report Number
    MW5073189
    Event Type
    Injury
    Date Received
    November 9, 2017
    Date of Event
    November 7, 2017
    Report Date
    November 7, 2017
    Manufacturer
    BD
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    WHILE IN THE COMPOUNDING ROOM I WENT TO GRAB A BD 60 ML. SYRINGE WITH LUER-LOC TIP. WHEN I PICKED ONE OUT OF THE BIN. I NOTICED THE INSIDE OF THE SYRINGE ON THE PLUNGER HAB A GREEN/BLACK RESIDUE. THE SYRINGE WAS STILL IN THE PACKAGING SO I SET IT ASIDE AND REPORTED IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    792196 BD 60 ML LUER-LOC SYRINGE BD 60 ML LUER-LOC SYRINGE FMF BD 7086804

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention