BEUDAMED
    FDA Adverse Event Summary report: N

    BD PRECISION GLIDE NEEDLE 18 GAUGE NEEDLE

    MDR report key: 11045754 · Received December 18, 2020

    Report

    Report Number
    MW5098453
    Date Received
    December 18, 2020
    Date of Event
    November 20, 2020
    Report Date
    December 16, 2020
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    FMI
    UDI-DI
    00382903051960
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    AN 18 GAUGE NEEDLE DISLODGED FROM THE HUB WHILE WITHDRAWING THE NEEDLE FROM A VIAL, NO INJURY OCCURED. THE NEEDLE USED WAS A BD PRECISIONGLIDE, 18G X 1 1/2 (1.2MM X 40MM), REF: 305196, LOT: 0051422, EXP: 2025-03-31. BECTON DICKINSON AND COMPANY, (B)(4). FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1499092 BD PRECISION GLIDE NEEDLE 18 GAUGE NEEDLE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI BECTON DICKINSON AND COMPANY 305196 0051422 00382903051960

    Patients

    Seq Age Sex Outcome Treatment
    1