inforMED
MalfunctionMRZ

CARTRIDGE, 3 ML RG MEDICATION.

Received Mar 17, 2022 · Event occurred Feb 11, 2022

Report MW5108306 · MDR key 13811401

Device

Generic name

Accessories, Pump, Infusion.

Lot number

1314118

Product problems

  • Device Contamination with Chemical or Other Material

Patient

33 YR · Female

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

INBOUND. PATIENT REPORTED A STICKY, CLEAR LIQUDSUBSTANCE INSIDE THE BARREL OF THE 5 MILLIMETER SYRINGE THAT STICKS TO THE PLUNGER. STATED 4 SYRINGES HAVE THE SAME SUBSTANCE. LOT NUMBER IS 1314118. PATIENT IS ALSO ON OPSUMIT. NO FURTHER DETAILS PROVIDED. (B)(6).