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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EMBECTA MEDICAL I LLC - HOLDREGE, NE VET SYRINGE 0.3ML X 29G X 12.7MM 10 BAG; SYRINGE, PISTON

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EMBECTA MEDICAL I LLC - HOLDREGE, NE VET SYRINGE 0.3ML X 29G X 12.7MM 10 BAG; SYRINGE, PISTON Back to Search Results
Model Number 323000
Medical Device Problem Code Volume Accuracy Problem (1675)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
Pet owner reported finding two syringes that were missing the "scale markings" before use.Lot: 3346004, catalog: 323000, date of event: unknown, samples: yes cl.
 
Additional Manufacturer Narrative
Investigation summary: no samples (including photos) were returned therefore the complaint could not be confirmed and the root cause is undetermined.This is the 1st.Complaint for the reported lot number.A review of the manufacturing records was performed, and no non-conformances were raised in association with this type of event for this lot.Complaints received for this device and reported condition will continue to be tracked and trended.If samples are received in the future the complaint will be reopened for further investigation.Based on the above, no additional investigation and no corrective/preventative action (capa) or situational analysis (sa) is required at this time.
 
Additional Manufacturer Narrative
Additional information was added to: b4, g6, h2, h3, h11.Correction to: h6 (type of investigation, investigation findings, and investigation conclusions).Investigation summary: samples were received and an investigation was performed.This is the 1st complaint for the reported lot number.A review of the manufacturing records was performed and no non-conformance's were raised in association with this type of event for this lot.Embecta was able to duplicate or confirm the indicated issue and based on trend analysis no further action is required at this time.Complaints received for this device and reported condition will continue to be tracked and trended.Based on the above, no additional investigation and corrective/preventative action (capa) or situational analysis (sa) is required.
 
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Brand Name
VET SYRINGE 0.3ML X 29G X 12.7MM 10 BAG
Common Device Name
SYRINGE, PISTON
Manufacturer (Section D)
EMBECTA MEDICAL I LLC - HOLDREGE, NE
Manufacturer Contact
avital merl
300 kimball dr.
parsippany, NJ 07054
MDR Report Key20384347
Report Number3024508819-2024-00370
Device Sequence Number20474522
Product Code FMF
UDI-Device Identifier00382903230006
UDI-Public00382903230006
Combination Product (Y/N)Y
Initial Reporter StateWA
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 07/11/2025
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
Operator of Device Lay User/Patient
Device Model Number323000
Device Lot Number3346004
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/12/2024
Supplement Date Received by ManufacturerNot provided
Not provided
Initial Report FDA Received Date10/07/2024
Supplement Report FDA Received Date12/12/2024
07/11/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/12/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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