FDA Adverse Event Other Summary report: N

21G ECLIPSE NEEDLE

MDR report key: 1221811 · Received November 4, 2008

Report

Report Number
1024879-2008-00012
Event Type
Other
Date Received
November 4, 2008
Date of Event
September 10, 2008
Report Date
November 4, 2008
Manufacturer
BD
Product Code
FMI
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UPON FURTHER FOLLOW UP WITH THIS ACCOUNT ON 10/27/2008, IT WAS REVEALED THAT THE HCW WHO RECEIVED A NSI WAS PLACED ON PROPHYLACTIC MEDICATION FOR 48 HOURS AND THEN TAKEN OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 21G ECLIPSE NEEDLE 21G ECLIPSE NEEDLE FMI BD NA 7283695

Patients

Seq Age Sex Outcome Treatment
1 NA