FDA Adverse Event Other Summary report: N

SAF-T-INTIMA SHIELDED IV CATHETER

MDR report key: 1358753 · Received April 8, 2009

Report

Report Number
9610847-2009-00013
Event Type
Other
Date Received
April 8, 2009
Date of Event
March 12, 2009
Report Date
March 12, 2009
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS
Product Code
FOZ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE USED SAMPLE WAS RECEIVED ON 03/19/2009, AND IS CURRENTLY BEING DECONTAMINATED. UPON DECONTAMINATION AND COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. (B) (4). (B) (4).

Description of Event or Problem · 1

AFTER INSERTION OF IV CATHETER, WHILE WITHDRAWING THE NEEDLE WITH THE STYLET, THE NEEDLE PIERCED THROUGH THE TUBING AND STUCK EMPLOYEE IN THE LEFT INDEX FINGER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAF-T-INTIMA SHIELDED IV CATHETER INTRAVASCULAR CATHETER FOZ BECTON DICKINSON INFUSION THERAPY SYSTEMS NA 8297288

Patients

Seq Age Sex Outcome Treatment
1 71 YR Other