33MM GREEN EZ ONE VIALS GEZ-150 0222

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-14 for 33MM GREEN EZ ONE VIALS GEZ-150 0222 manufactured by Pharmacy Lite Packaging.

Event Text Entries

[145486015] We had a parent of an individual that we fill liquid prescription for bring up an issue they were having with the gez-150 bottles that we dispense the liquid preparation in. We typically do 360ml of this particular suspension in each gez-150 bottle. The parent's complaint was that on two separate occasions, once when the bottle was nearly full and once when it was about 1/4 full, when they are drawing a dose out of the bottle they happened to drop the vial on the laminate floor in their home and the bottle shattered (not just cracked but shattered producing pieces of plastic). They estimate a 5 ft fall height, bottles being stored refrigerated (35-45 degrees fahrenheit - nothing frozen) and dose being taken out immediately after shaking suspension while the bottle is still cold. A majority of our products that we dispense in these bottles require refrigeration, and though dropping a bottle is not an ideal situation, should they not stand up to that kind of impact? Is this a part of the company's quality control process for these bottles? Is there something regarding the plastic's chemical make up of the particular batches that we received? We were a little skeptical at first, but then we tried it in our pharmacy. We filled a bottle full of water (which may potentially be lighter than the suspension) and simulated the situation at both room temperature and refrigerated (35-45 degrees f). The bottle held up to the impact at room temperature, but when cold the bottle broke open near the base and produced plastic shards. We have purchased a total of 6 boxes, with 4 full boxes on hand and one currently in use. Emphasis on bottle being cold and breaking if dropped. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086634
MDR Report Key8611952
Date Received2019-05-14
Date of Report2019-05-10
Date of Event2019-05-02
Date Added to Maude2019-05-15
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name33MM GREEN EZ ONE VIALS
Generic NameCONTAINER, LIQUID MEDICATION GRADUATED
Product CodeKYW
Date Received2019-05-14
Model NumberGEZ-150
Catalog Number0222
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPHARMACY LITE PACKAGING


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-14

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