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
Manufacturer
Medline Industries LpCatalog 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.