BEUDAMED
    FDA Adverse Event Other Summary report: N

    VACUTAINER BRAND NEEDLE

    MDR report key: 1052876 · Received May 27, 2008

    Report

    Report Number
    1024879-2008-00008
    Event Type
    Other
    Date Received
    May 27, 2008
    Date of Event
    May 8, 2008
    Report Date
    May 28, 2008
    Manufacturer
    BD
    Product Code
    JKA
    PMA / PMN Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PHLEBOTOMIST WAS STUCK BY THE NEEDLE AFTER SHE PUSHED DOWN WITH HER RIGHT THUMB, BUT DID NOT NOTICE THAT THE SHIELD WAS MISALIGNED AND DID NOT COVER THE NEEDLE. SHE THEN SET THE NEEDLE DOWN ON THE BED TO ATTEND TO A CONFUSED PT. WHEN SHE WENT TO PICK UP THE NEEDLE, SHE WAS STUCK IN THE RIGHT INDEX FINGER. NO STITCHES REQUIRED. WAS TREATED BY EMPLOYEE HEALTH WITH THE RECOMMENDED SHOTS. SOURCE TESTED NEGATIVE FOR HIV AND HEPATITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VACUTAINER BRAND NEEDLE 21G ECLIPSE NEEDLE JKA BD NA 8083805

    Patients

    Seq Age Sex Outcome Treatment
    1 NA