BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HYDROMORPHONE HCI CARPUJECT INJECTOR

    MDR report key: 9865094 · Received March 20, 2020

    Report

    Report Number
    MW5093864
    Event Type
    Malfunction
    Date Received
    March 20, 2020
    Date of Event
    March 7, 2020
    Report Date
    March 18, 2020
    Manufacturer
    HOSPIRA, INC.
    Product Code
    IQG
    UDI-DI
    0409128303
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CARPUJECT BROKE OFF DURING INJECTION. DIAGNOSIS FOR USE: PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    326362 HYDROMORPHONE HCI CARPUJECT INJECTOR ADAPTOR, HOLDER, SYRINGE IQG HOSPIRA, INC. 10760LL 0409128303

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR