BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VANISHPOINT SYRINGE

    MDR report key: 11759732 · Received May 3, 2021

    Report

    Report Number
    11759732
    Event Type
    Malfunction
    Date Received
    May 3, 2021
    Date of Event
    April 15, 2021
    Report Date
    April 22, 2021
    Manufacturer
    RETRACTABLE TECHNOLOGIES INC.
    Product Code
    MEG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE NEEDLE DID NOT RETRACT AFTER ADMINISTRATION OF IM INJECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    661645 VANISHPOINT SYRINGE SYRINGE, ANTISTICK MEG RETRACTABLE TECHNOLOGIES INC. 10161

    Patients

    Seq Age Sex Outcome Treatment
    1 11680 DA