ENFIT ORAL SYRINGE 818077 BP-S05NC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-08 for ENFIT ORAL SYRINGE 818077 BP-S05NC manufactured by Neomed Inc..

Event Text Entries

[174671412] Oral enfit medication syringe leaked from sealed side (plunger side) after filling with oral medication. Doses filled in pharmacy correctly, but by the time they found their way to the pt care unit, bedside nurse noticed volume was below indication and that there was fluid beyond the rubber seal of the plunger. Wanted to report to see if mfr has a defective lot or batch vs. Isolated syringes. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092112
MDR Report Key9569322
Date Received2020-01-08
Date of Report2020-01-06
Date of Event2019-12-27
Date Added to Maude2020-01-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENFIT ORAL SYRINGE
Generic NameENTERAL, SYRINGES WITH ENTERAL SPECIFIC CONNECTORS
Product CodePNR
Date Received2020-01-08
Model Number818077
Catalog NumberBP-S05NC
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerNEOMED INC.
Manufacturer AddressWOODSTOCK GA US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-08

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