inforMED
MalfunctionIQG

ADAPTOR, HOLDER, SYRINGE

Received May 9, 2023 · Event occurred Mar 17, 2023

Report 16894727 · MDR key 16894727

Device

Generic name

Adaptor, Holder, Syringe

Manufacturer

Hospira, Inc

Lot number

GA5439AA

Product problems

  • Material Fragmentation

Patient

31025 DA · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

WAS MIXING AN AZTREONAM DOSE THAT WAS NOT YET RECONSTITUTED AND WHEN I BROKE THE SEAL TO THE VIAL AND SQUEEZED THE MIXING SOLUTION IN WITH THE MED POWDER, THE BOTTOM OF THE VIAL SHATTERED, AND THE MEDICATION WAS LOST.