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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON DICKINSON AND COMPANY BD 10 ML SYRINGE LUER-LOK TIP; SYRINGE, PISTON

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BECTON DICKINSON AND COMPANY BD 10 ML SYRINGE LUER-LOK TIP; SYRINGE, PISTON Back to Search Results
Lot Number 9273092
Device Problems Contamination (1120); Crack (1135); Leak/Splash (1354); Defective Device (2588)
Patient Problem Insufficient Information (4580)
Event Date 11/24/2020
Event Type  malfunction  
Event Description
After compounding a radiopharmaceutical, the isotope was drawn up into a bd10ml syringe, punctured the rubber stopper of the vial and pressed the plunger of the syringe.The syringe had a crack in the barrel which the radioactive isotope squirted out of and contaminated the inside of the caci hood.Our nuclear medicine department has found numerous defective syringes ranging from 3 ml, 5 ml, and 10 ml sizes.This is the first time one has produced a contamination of equipment or personal.Fda safety report id#: (b)(4).
 
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Brand Name
BD 10 ML SYRINGE LUER-LOK TIP
Type of Device
SYRINGE, PISTON
Manufacturer (Section D)
BECTON DICKINSON AND COMPANY
MDR Report Key11574372
MDR Text Key242753652
Report NumberMW5100281
Device Sequence Number1
Product Code FMF
UDI-Device Identifier00382903029952
UDI-Public(01)00382903029952
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date 03/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Lot Number9273092
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received03/25/2021
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
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