BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BD SAFETY GLIDE 25 G NEEDLE WITH 3 CC SYRINGE

    MDR report key: 1133944 · Received August 22, 2008

    Report

    Report Number
    MW5008074
    Event Type
    Malfunction
    Date Received
    August 22, 2008
    Date of Event
    August 15, 2008
    Report Date
    August 22, 2008
    Manufacturer
    BD
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    NURSE DREW UP HEPARIN IN THE SYRINGE. ADMINISTERED MEDICATION TO PT IN THE ABDOMEN USING SUBCUTANEOUS ADMINISTRATION TECHNIQUE. WHEN NURSE WITHDREW THE SYRINGE AFTER THE SUBCUTANEOUS INJECTION, THE ENTIRE NEEDLE REMAINED IN THE ABDOMEN. THE HUB WAS ON THE SYRINGE. THE NEEDLE WAS REMOVED FROM THE ABDOMEN INTACT. NO INJURY TO THE PT OR ADD'L INTERVENTION REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BD SAFETY GLIDE 25 G NEEDLE WITH 3 CC SYRINGE BD SYRINGE WITH 25G NEEDLE FMI BD 8005970

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR