BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD 3ML SYRINGE LUER-LOK TIP

    MDR report key: 7832222 · Received August 29, 2018

    Report

    Report Number
    MW5079484
    Event Type
    Malfunction
    Date Received
    August 29, 2018
    Date of Event
    August 23, 2018
    Report Date
    August 28, 2018
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    BD 3ML SYRINGE HAS A CRACK THAT RESULTED IN A SPLASH INCIDENT INVOLVING A STAFF WHEN PLUNGER WAS PUSHED DURING MEDICATION ADMINISTRATION BY MEDICAL ASSISTANT. NO OTHER SYRINGES WERE FOUND TO BE DEFECTIVE. REF 309657, LOT #8046992, EXP: 02/28/2023, MFR: BECTON DICKINSON AND COMPANY. MADE IN (B)(6). DATES OF USE: (B)(6) 2018.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    666652 BD 3ML SYRINGE LUER-LOK TIP SYRINGE, PISTON FMF BECTON DICKINSON AND COMPANY 8046992

    Patients

    Seq Age Sex Outcome Treatment
    1