BEUDAMED
    FDA Adverse Event Other Summary report: N

    VACUTAINER BRAND NEEDLE

    MDR report key: 1060930 · Received June 16, 2008

    Report

    Report Number
    1024879-2008-00009
    Event Type
    Other
    Date Received
    June 16, 2008
    Date of Event
    June 4, 2008
    Report Date
    June 16, 2008
    Manufacturer
    BD
    Product Code
    JKA
    PMA / PMN Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HCW RECEIVED A CLEAN NEEDLE STICK INJURY TO THE MIDDLE FINGER OF THE RIGHT HAND. HCW WAS LOADING PHLEBOTOMY TRAY WHEN HE PUT HIS HAND INTO A BOX TO GRAB NEEDLES AND WAS STUCK. HE IS CURRENT ON HIS (B) (6) VACCINE. INVITRO TESTED FOR (B) (6) AND (B) (6). HE DID RECEIVE A TETANUS SHOT, THEREFORE, MEDICAL INTERVENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VACUTAINER BRAND NEEDLE 22G ECLIPSE NEEDLE JKA BD NA 7074488

    Patients

    Seq Age Sex Outcome Treatment
    1 NA