FDA Adverse Event
Malfunction
Summary report: N
NEEDLE 25GX1 PRO EDGE SAFETY DEVICE 100/BX
MDR report key: 11260361
·
Received January 29, 2021
Report
- Report Number
- MW5099104
- Event Type
- Malfunction
- Date Received
- January 29, 2021
- Date of Event
- January 27, 2021
- Report Date
- January 27, 2021
- Manufacturer
- SMITHS MEDICAL/ SMITHS MEDICAL ASD, INC.
- Product Code
- FMI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
WHEN DRAWING UP A MEDICATION THE NEEDLE 25GX1" NEEDLE-PRO EDGE SAFETY DEVICE 100/BX, 10 BX/CA 3010043/SMITHS MEDICAL ASD, INC-402510 BENDS VERY EASILY. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 146024 | NEEDLE 25GX1 PRO EDGE SAFETY DEVICE 100/BX | NEEDLE, HYPODERMIC, SINGLE LUMEN | FMI | SMITHS MEDICAL/ SMITHS MEDICAL ASD, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |