inforMED
MalfunctionPWY

PH ADT LUM PUNCT TRAY 22 X 3 1/2

Received Oct 23, 2024 · Event occurred Sep 26, 2024

Report 1417592-2024-00913 · MDR key 20514908

Device

Generic name

Ph Adt Lum Punct Tray 22 X 3 1/2

Catalog number

DYNJTS4306H

Lot number

24DBJ891

Product problems

  • Contamination /Decontamination Problem
  • Contamination /Decontamination Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

A "BROWN WITH IRREGULAR EDGES" PARTICLE WAS SEEN IN THE SYRINGE. TO DATE, NO INFORMATION HAS BEEN RECEIVED TO INDICATE THAT A USER OR A PATIENT EXPERIENCED A DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, FOLLOW-UP CARE, OR OTHER ADVERSE HEALTH IMPACT ASSOCIATED WITH THE REPORTED PROBLEM/ISSUE. IN AN ABUNDANCE OF CAUTION, AND IN RESPONSE TO AN FDA 483 ISSUED FOR CFN 1417592 ON 22-JAN-2024, THIS MEDWATCH IS BEING FILED FOR THE REPORTED PROBLEM/ISSUE. IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

PARTICULATE IN SYRINGE.