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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP; SYRINGE,PISTON,IRRIGATION,60ML,STERILE

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MEDLINE INDUSTRIES, LP; SYRINGE,PISTON,IRRIGATION,60ML,STERILE Back to Search Results
Model Number DYND20325
Device Problems Display Difficult to Read (1181); Leak/Splash (1354)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/11/2023
Event Type  malfunction  
Event Description
It was reported that the bulb irrigation syringe was leaking and that the markings were difficult to read.
 
Manufacturer Narrative
It was reported that the bulb irrigation syringe was leaking and that the markings were difficult to read.According to the reporting facility, "when inverted the fluid starts to flow out before the nurse exerts pressure on the plunger" and that the markings are clear instead of black.To date, no information has been received to indicate that a user or a patient experienced a death, serious injury, medical intervention, follow-up care, or other adverse health impact associated with the reported problem/issue.Samples were returned for evaluation and markings were confirmed to be difficult to read since they blend into the transparent background of the syringe barrel.The reported marking problem/issue is not a product defect.The reported leaking problem/issue was not confirmed.At the time of the incident, the reporting facility recently transitioned away from using bd bulb irrigation syringes and the root cause was determined to be customer preference.Due to the reported problem/issue, and in an abundance of caution, this medwatch is being filed.If additional relevant information becomes available a supplemental medwatch will be filed.Additional lot numbers reported = 0332212a038, 033221a124, 96923010001.
 
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Type of Device
SYRINGE,PISTON,IRRIGATION,60ML,STERILE
Manufacturer (Section D)
MEDLINE INDUSTRIES, LP
three lakes drive
northfield IL 60093 2753
Manufacturer Contact
nigel vilches
three lakes drive
northfield, IL 60093-2753
MDR Report Key18777200
MDR Text Key337252168
Report Number1417592-2024-00109
Device Sequence Number1
Product Code KYZ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial
Report Date 02/25/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/26/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Model NumberDYND20325
Device Lot Number0332211A110
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/25/2023
Date Manufacturer Received09/11/2023
Was Device Evaluated by Manufacturer? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
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