inforMED
MalfunctionOGE

MEDLINE

Received Jun 5, 2026 · Event occurred Apr 10, 2026

Report 1417592-2026-02165 · MDR key 25417519

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Product code (OGE)
Manufacturer (Productos Medline S.a. De C.v.)
Model (PAIN0789A)

Device

Generic name

Single Shot Tray - Dr. Hare

Catalog number

PAIN0789A

Lot number

25JBG090

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT THERE WERE BLACK SPECKS FOUND IN TRAY AND INSIDE LUER CONNECTION ON SYRINGE NEEDLES. ANOTHER TRAY WAS OPENED AND USED. NO INJURY OCCURRED. TRAY AND CONTENTS NOT USED IN PATIENT CARE. THERE WERE NO REPORTS OF DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, OR FOLLOW UP CARE. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR AGAIN. IN AN ABUNDANCE OF CAUTION, THIS IS A REPORTABLE EVENT. IF ADDITIONAL INFORMATION BECOMES AVAILABLE THIS REPORT WILL BE REOPENED AND REEVALUATED.

Description of Event or Problem

THERE WERE BLACK SPECKS FOUND IN TRAY AND INSIDE LEUR CONNECTION ON SYRINGE NEEDLES.