inforMED
MalfunctionNGT

EXCELSIOR MEDICAL, LLC

Received Jan 27, 2026 · Event occurred Jan 5, 2026

Report 2027791-2026-00001 · MDR key 24190978

Device

Generic name

Syringe, 10ml Saline In 10ml

Catalog number

EMZE010001

Lot number

3145749

Product problems

  • Contamination /Decontamination Problem

Patient

NA · Unknown

  • Insufficient Information

Narrative

Description of Event or Problem

MOLDY SYRINGE.

Additional Manufacturer Narrative

IT WAS REPORTED THAT A DEVICE WAS FOUND TO BE CONTAMINATED WITH MOLD. NO ADDITIONAL INFORMATION WAS PROVIDED. 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.