BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANHUI TIANKANG MEDICAL TECHNOLOGY CO. LTD 23G NEEDLE

    MDR report key: 11824994 · Received May 13, 2021

    Report

    Report Number
    MW5101353
    Event Type
    Malfunction
    Date Received
    May 13, 2021
    Date of Event
    May 11, 2021
    Report Date
    May 11, 2021
    Manufacturer
    ANHUI TIANKANG MEDICAL TECHNOLOGY CO., LTD
    Product Code
    FMI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    SAFETY DEVICE ON NEEDLE DID NOT PROPERLY WORK, CREATING A NEEDLE STICK TO THE STAFF MEMBER. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    717417 ANHUI TIANKANG MEDICAL TECHNOLOGY CO. LTD 23G NEEDLE NEEDLE, HYPODERMIC, SINGLE LUMEN FMI ANHUI TIANKANG MEDICAL TECHNOLOGY CO., LTD 21210302

    Patients

    Seq Age Sex Outcome Treatment
    1