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
Manufacturer
Medline Industries LpCatalog 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.