inforMED
MalfunctionOGJ

UNIVERSAL BLOCK TRAY

Received May 19, 2025 · Event occurred Apr 29, 2025

Report 1417592-2025-00232 · MDR key 22045257

Device

Generic name

Universal Block Tray

Catalog number

DYNJRA1259A

Lot number

25BMJ030

Product problems

  • Defective Device
  • Defective Device

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

ACCORDING TO THE FACILITY ON 04/29/2025 THE SYRINGE IS "DEFECTIVE" AND THE "RUBBER STOPPER IS DETACHED". PER THE FACILITY THERE WAS NO PATIENT INVOLVEMENT, AND THEREFORE NO INJURY OR MEDICAL INTERVENTION REQUIRED. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME. 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

ACCORDING TO THE FACILITY ON (B)(6) 2025 THE SYRINGE IS "DEFECTIVE" AND THE "RUBBER STOPPER IS DETACHED."