BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD STERILE 50 ML LUER-LOK TIP SYRINGE

    MDR report key: 9957258 · Received April 13, 2020

    Report

    Report Number
    MW5094113
    Event Type
    Malfunction
    Date Received
    April 13, 2020
    Date of Event
    April 9, 2020
    Report Date
    April 9, 2020
    Manufacturer
    BECTON DICKINSON
    Product Code
    FMF
    UDI-DI
    00382903096534
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    OPENED UP THE PACKAGING FOR A STERILE BD 50 ML LUER-LOK TIP SYRINGE AND FOUND A HEX NUT INSIDE THE SYRINGE BARREL. MANUFACTURER IS BECTON, DICKINSON AND COMPANY, (B)(4). LOT: 0007608. FDA SAFETY REPORT ID #: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    415533 BD STERILE 50 ML LUER-LOK TIP SYRINGE SYRINGE, PISTON FMF BECTON DICKINSON 0007608 00382903096534

    Patients

    Seq Age Sex Outcome Treatment
    1