MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other,user facility report with the FDA on 2020-03-04 for PISTON TYPE IRRIGATION SYRINGE 70ML WITH LUER TIP ADAPTER, PLASTIC, STERILE 0038470 manufactured by C.r. Bard, Inc. (covington) -1018233.
[185059356]
The investigation is still in progress. Once the investigation is complete, a supplemental report will be filed.
Patient Sequence No: 1, Text Type: N, H10
[185059357]
It was reported that piston syringes were not maintaining their suction during usage, and the liquid was pouring back out. The complainant noted "you have to put your thumb in the ring and keep the tip of the syringe upward after the solution has been drawn in order that the liquid could stay in the syringe. That? S too much maintenance. " the complainant further went on to say that the devices were used correctly.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1018233-2020-01539 |
| MDR Report Key | 9787963 |
| Report Source | OTHER,USER FACILITY |
| Date Received | 2020-03-04 |
| Date of Report | 2020-03-30 |
| Date Mfgr Received | 2020-03-30 |
| Date Added to Maude | 2020-03-04 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | YONIC ANDERSON |
| Manufacturer Street | 8195 INDUSTRIAL BLVD |
| Manufacturer City | COVINGTON GA 30014 |
| Manufacturer Country | US |
| Manufacturer Postal | 30014 |
| Manufacturer Phone | 7707846100 |
| Manufacturer G1 | C.R. BARD, INC. (COVINGTON) -1018233 |
| Manufacturer Street | 8195 INDUSTRIAL BLVD |
| Manufacturer City | COVINGTON GA 30014 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 30014 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PISTON TYPE IRRIGATION SYRINGE 70ML WITH LUER TIP ADAPTER, PLASTIC, STERILE |
| Generic Name | PISTON SYRINGE |
| Product Code | KYZ |
| Date Received | 2020-03-04 |
| Catalog Number | 0038470 |
| Lot Number | NGDX4492 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | C.R. BARD, INC. (COVINGTON) -1018233 |
| Manufacturer Address | 8195 INDUSTRIAL BLVD COVINGTON GA 30014 US 30014 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-04 |