BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BECTON, DICKINSON AND COMPANY

    MDR report key: 9947869 · Received April 10, 2020

    Report

    Report Number
    9947869
    Event Type
    Malfunction
    Date Received
    April 10, 2020
    Date of Event
    February 13, 2020
    Report Date
    March 24, 2020
    Manufacturer
    BECTON, DICKINSON AND COMPANY
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AZ
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REPORT BEING ENTERED FOR TRACKING PURPOSES ONLY-DO NOT HAVE SERIAL OR MODEL NUMBERS. NYICU (NURSERY INTENSIVE CARE UNIT) RN NOTED LEAKING AT 3CC SYRINGE BUFF CAP DURING AN IV HYDROCORTISONE ADMINISTRATION. PHARMACY IS WORKING TO BRING IN A DIFFERENT COMPANY FOR 3CC SYRINGES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    412052 BECTON, DICKINSON AND COMPANY SYRINGE, PISTON FMF BECTON, DICKINSON AND COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1