MalfunctionKZE
J-TIP
Received Jun 11, 2019 · Event occurred Mar 5, 2019
Report 8686578 · MDR key 8686578
Device
Generic name
Injector, Fluid, Non-electrically Powered
Manufacturer
National Medical Products, Inc.Lot number
190224-040
Product problems
- Crack
Patient
4015 DA
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
LIDOCAINE 1% BUFFERED 1% INJECTION (J-TIP) WAS USED ON A PATIENT FOR A PERIPHERAL IV START. UPON ACTIVATION OF THE DEVICE TO ADMINISTER THE DRUG THE SYRINGE CRACKED.