inforMED
MalfunctionOGJ

TRAY ESI 20G NDL, PLASTIC LOR, NO PHARM

Received Sep 9, 2025 · Event occurred Aug 14, 2025

Report 1417592-2025-00452 · MDR key 23004892

Device

Generic name

Tray Esi 20g Ndl, Plastic Lor, No Pharm

Catalog number

PAIN9009S

Lot number

25EBG990

Product problems

  • Leak/Splash
  • Mechanical Problem
  • Leak/Splash
  • Mechanical Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THE "PAIN PROVIDER WAS ADMINISTERING LIDOCAINE AND IT LEAKED AT THE LUER-LOK CONNECTION LEAKING DOWN THE PATIENTS BACK". 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

MEDICATION LEAKED FROM SYRINGE CONNECTION.