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U.S. Department of Health and Human Services

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

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BECTON, DICKINSON AND COMPANY BECTON DICKINSON 10ML LUER-LOK SYRINGE Back to Search Results
Catalog Number 309604
Device Problem Defective Device (2588)
Patient Problem Eye Injury (1845)
Event Date 04/10/2017
Event Type  Injury  
Event Description
Iv technician was withdrawing furosemide 10mg/ml into a bd 10ml syringe. A syringe defect caused the medication to squirt into the technician's eye. She rinsed the eye with water for 15 minutes and there was no residual redness or burning, although the eye watered for a few hours.
 
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Brand NameBECTON DICKINSON 10ML LUER-LOK SYRINGE
Type of Device10ML LUER-LOK SYRINGE
Manufacturer (Section D)
BECTON, DICKINSON AND COMPANY
1 becton dr
franklin lakes NJ 07417
MDR Report Key6522175
MDR Text Key73866064
Report NumberMW5069346
Device Sequence Number1
Product Code FMF
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Pharmacist
Type of Report Initial
Report Date 04/10/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/24/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Catalogue Number309604
Device Lot Number6342604
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA?
Event Location No Information
Was Device Evaluated by Manufacturer?
Is the Device Single Use?
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage

Patient Treatment Data
Date Received: 04/24/2017 Patient Sequence Number: 1
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