BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VANISHPOINT

    MDR report key: 12180148 · Received July 16, 2021

    Report

    Report Number
    12180148
    Event Type
    Malfunction
    Date Received
    July 16, 2021
    Date of Event
    June 21, 2021
    Report Date
    July 12, 2021
    Manufacturer
    RETRACTABLE TECHNOLOGIES, INC.
    Product Code
    MEG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CT
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A NURSE ON EP 8-8 FOUND AN INSULIN SYRINGE THAT IS NOT DRAWING UP INSULIN. I HAVE THE SYRINGE AND LOT NUMBER (BELOW). WE TESTED MULTIPLE OTHER SYRINGES FROM THAT LOT, AND THEY WERE FUNCTIONAL. LOT# M210101.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1080328 VANISHPOINT SYRINGE, ANTISTICK MEG RETRACTABLE TECHNOLOGIES, INC. 15271 M210101

    Patients

    Seq Age Sex Outcome Treatment
    1